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Fair absence management for neurodivergent employees

Neurodivergent people face many avoidable barriers at work: practices such as unclear communication and even environmental factors, like harsh lighting, can put employees with impairments at a marked disadvantage. 

That’s why UK disability rights expect employers to remove or reduce those barriers through sensible changes (ones that have been agreed upon with the employee). Implementing these changes in the right way can keep the workplace inclusive and attendance steady. 

Sickness absence across the UK fell back to around 2% of working time in 2024, but employers still lose days to issues that better support could prevent.

What ‘fair’ means for UK employers

UK law says employers must make ‘reasonable adjustments’ so a disabled person isn’t put at a disadvantage at work. The term ‘disabled’ covers physical or mental impairments with a substantial and long-term effect on day-to-day activities. 

This definition can encompass a wide range of neurodivergent conditions, depending on their impact. As such, support should be based on need, not paperwork. ACAS is clear that an employee doesn’t need a formal diagnosis for you to offer support or agree to adjustments. 

In fact, sometimes being fair can mean not treating all absences the same. For disability-related time off (for example, assessments or treatment), you might: 

  • Discount some or all of it from trigger calculations (these are automatic flags in an absence policy that tells a manager to review someone’s attendance)
  • Raise thresholds (the level that sets off the trigger, for example, 3 occasions in 6 months)
  • Or record it separately as disability leave 

Recording planned appointments separately, in absence management software, for example, can help avoid them being counted as unplanned absences. 

Practical adjustments that reduce avoidable absence

Removing barriers for neurodivergent employees isn’t as complex as it may seem. 

Approaches supported by academic works advocate for adjustments like quieter spaces, control over lighting and noise, structured working days, and clear written agendas. The intended effect is lowered stress levels.

Sensory & environment

It may seem like common sense, but a calmer, more predictable workspace can help prevent overload in neurodivergent employees. 

As an employer, you can offer this through dedicated quieter areas or noise-reduction options. Where possible, allow people to control lighting and use headphones to filter background noise. 

A point made by the Equality and Human Rights Commission is relevant here: setting a consistent routine for the day also helps many autistic employees, and as such, could be considered a reasonable adjustment. 

Communication

Straightforward communication habits can reduce anxiety in the workplace, so make information easy to take in the first time. 

Simple considerations, like sharing agendas before meetings, following up with written notes and using plain English task lists that outline priorities, can make a world of difference. These habits are good for everyone, not just neurodivergent colleagues.

Time & routines

An important thing for employers to remember is that, in the modern workplace, flexibility keeps attendance steady. Consider allowing for flexible start and finish times (where the role allows) and permitting short, more frequent breaks to reset. 

When someone has assessments or treatment, plan those and record them separately from sickness, so that they’re not treated like unplanned absence. 

Your absence management software can help with this by using distinct categories for ‘planned medical time’ or ‘disability-related appointments’.

Ways to bias-proof your absence process

A fair process should spot genuine problems without penalising disability. 

In practice, that requires a few things from employers: flexing review triggers, recording planned medical time separately (for example, in your absence management software), and treating tools like the Bradford Factor as prompts, rather than automatic penalties.

Fine-tune your triggers

If you or your absence management software uses ‘triggers’ (automatic points that prompt a review), then build flexibility for disability-related time off. 

Fair practice is to discount some or all disability-related absence from the trigger, or raise the level at which a review happens. Making these adjustments ensures that the person isn’t put at a disadvantage due to treatment or assessments.

For clarity, you should spell this out in the policy and record your reasoning each time it’s adjusted.

Don’t let the Bradford Factor be a dominating influence

The Bradford Factor is based on the theory that frequent, short absences are more disruptive to a business than longer ones. While it’s a trusted tool, it can also unfairly inflate scores for disabled employees who need regular appointments.

If you use it at all, be sure to apply judgment. Exclude disability-related absence from the calculation where appropriate, and document why, so that you avoid committing indirect discrimination.

Offer disability leave for planned medical time

We’ve covered this briefly, but it’s essential to distinguish between days off for assessments, treatment, or recovery and days off due to unplanned sickness. In fact, ACAS recognises recording this separately (often called ‘disability leave’) as another reasonable adjustment. 

What does the evidence suggest? 

Data collected by UK government bodies demonstrates the need for balance. 

UK law expects employers to reduce barriers for disabled workers through reasonable adjustments, and good practice suggests that this is usually practical when handled on a case-by-case basis with the individual.

At the same time, absence processes still need to be managed. When you employ a helpful absence management system for your business in conjunction with flexible trigger systems, they become neutral record-keepers rather than blunt instruments. 



Sudeep Bhatnagar
Co-founder & Director of Business
Sudeep Bhatnagar

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