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Your Access to Work Holistic Assessment

Supporting you at work

This holistic assessment covers all aspects of your health condition and/or disability and how it impacts you at work.

Your Department for Work and Pension’s Case Manager will agree your assessment type with you, based on your needs:

Virtual Holistic Assessment

Ideal if you can tell us how your condition impacts your job (over a call)

A colleague can help you if required (eg. with desk measurements).

Employer support is voluntary.

Face-to-Face Holistic Assessment

Ideal for more complex needs and you may need support to tell us how your condition impacts your job.

We will assess your workstation.

Employer support is voluntary.

Enhanced Holistic Assessment

Ideal for more complex needs.

We will assess your working area and any additional help you need (eg, workplace adjustments).

Employer support is mandatory.

As part of our support, our experienced disability assessors will:

Check

Make sure you have the right assessment, as agreed by your
Case Manager

Check

Work with your Case Manager, to overcome any barriers by providing solutions matched to your needs

Check

Arrange a suitable time with you for the assessment

Check

Complete a thorough assessment, considering your workplace barriers

Check

Provide feedback and recommendations to your Case Manager within two weeks.

For more information about this service,
please visit: https://www.gov.uk/access-to-work

Step 1 of 4 - Eligibility

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Part 1: Eligibility

Do you have a mental health concern that has an effect on your ability to do normal activities at work?(Required)

Are you aged 16 years or over?(Required)

Do you live in England, Scotland or Wales?(Required)

If you are employed, are you earning the National Minimum Wage or above?(Required)

For more info on what the National Minimum Wage currently is, head to the government website

If you're not sure you are eligible, or would like to refer yourself by telephone, call our team on 0300 456 8114.

Someone Else

If someone else, please confirm you have consent from the individual before proceeding.

If you are referring someone else, please provide your own full name:

Our service is only available to people over 16 who are currently employed, earning over the minimum wage, and have a mental health concern effecting their ability to work. If you believe this applies to you, please review your answers and resubmit the form.

Part 2: Your details

Title(Required)

First Name(Required)

Last Name(Required)

National Insurance Number(Required)

Date of birth(Required)

Gender(Required)

Ethnicity(Required)

Are you receiving Incapacity Benefit, Employment and Support Allowance or Income Support?(Required)

Home address(Required)

Postal code(Required)

County(Required)

Home phone number(Required)

Mobile phone number(Required)

Email(Required)

Preferred contact method(Required)

How did you hear about this service?(Required)

If other - please state

Part 4: Your mental health concerns

Your main mental health concern(Required)

If other - please state

Please tell us in a couple of sentences the effect that your mental health concern has on your ability to do your job(Required)

Is there anything specific you are finding difficult at work? For example, deadlines or group projects?(Required)

Does your employer provide any support around mental health, and how is your relationship with your employer?(Required)

Is there any other information regarding your work situation you would like to tell us about?(Required)

Do you receive any other support outside of work for your mental health?(Required)

Do you require any additional support to participate in an appointment? For example, an interpreter if you are hearing impaired(Required)

Consent

I agree to receive other communications from Maximus.

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