What happens when a serious injury affects your ability to return to work

Returning to work after a serious injury depends on your recovery, the demands of your role and whether your employer can make suitable adjustments. Some people return gradually, perhaps with shorter hours or lighter duties. Others cannot safely resume their previous occupation, even after rehabilitation. Both outcomes matter when assessing a personal injury claim. Your ability to earn a living after the accident can have a greater financial impact than the award for pain, suffering and loss of amenity, especially when the injury ends a career early.

What a return to work usually looks like

If you’re off sick for more than seven consecutive calendar days, you’ll generally need a fit note, formally called a Statement of Fitness for Work. You can self-certify for the first seven days. Since July 2022, registered nurses, occupational therapists, pharmacists and physiotherapists, as well as doctors, have been authorised to issue fit notes where appropriate. The note may state that you’re unfit for work or that you may be fit with support, such as a phased return, altered hours, amended duties or workplace adaptations. Occupational health advice can help. Agree review dates, pay arrangements and what happens if the adjustments stop working.

A fit note gives medical advice rather than automatically changing your contract. Your employer should discuss any recommendations with you and consider appropriate adjustments, although not every suggestion will necessarily be practicable. If suitable changes cannot be agreed, you may be treated as unfit for work for the relevant period. GOV.UK’s guidance on sick leave explains the process, including longer absences and sick pay.

When your employer has to make reasonable adjustments

An injury may qualify as a disability under the Equality Act 2010 if it has a substantial and long-term adverse effect on normal day-to-day activities. Long-term generally means lasting, or likely to last, at least 12 months. Amputations, spinal injuries and lasting neurological damage can meet that definition, depending on their effects. The effects matter more than the diagnosis.

Where the legal test is met, employers must make reasonable adjustments to address disadvantages faced by disabled workers. Examples include specialist equipment, accessible workstations, amended tasks, flexible hours, additional breaks or suitable alternative vacancies. Reasonableness depends on factors such as effectiveness, practicality, cost and available resources. The duty generally arises when the employer knows, or could reasonably be expected to know, about the disability and disadvantage. Record your requests and consider occupational health advice. A refusal to make reasonable adjustments can amount to disability discrimination, regardless of intent.

When returning to your old job isn’t possible

Some injuries prevent a return to physically demanding work despite rehabilitation and reasonable adjustments. Alternatives may include redeployment, retraining for less demanding work or different hours. Ill-health retirement may be an option under a particular pension scheme, but it isn’t automatic and the financial implications need careful review. Medical and vocational evidence can establish realistic options.

You should not feel compelled to resign without advice. Dismissal or pressure to leave following an accident may raise employment-law issues, including unfair dismissal or discrimination. Our guide on whether you can be sacked after an accident at work explains those concerns, which can arise separately from your personal injury claim.

How this affects your compensation claim

Loss of earnings can be a substantial part of a serious injury settlement. Compensation may address pay already lost while you recovered and reduced income over your remaining working life. In a long-term claim, those financial losses may exceed damages for the injury itself, depending on medical and financial evidence. Pension and retraining costs may also matter.

You are expected to take reasonable steps to limit avoidable losses, but that does not mean accepting unsafe work or returning before you’re medically able. A suitable phased return, adjusted role or retraining may be relevant. Compensation is assessed on what you could reasonably earn with your injuries, not on an assumption that everyone can resume their previous employment. These examples illustrate the calculation.

Your situationWhat it typically means for your claim
Full recovery, same job and payPast net earnings lost during recovery, alongside damages for pain, suffering and loss of amenity
Return to the same job and pay, but at a disadvantage if you ever lost itPossible compensation for a proven disadvantage on the open labour market, sometimes called a Smith v Manchester award
Return to work, but in a lower paid or lesser rolePast losses and a potential future earnings claim for the difference, where supported by evidence
Unable to return to work at allPast and potentially substantial future lost earnings and pension contributions, assessed against realistic working life and alternatives

Other losses may matter too. In suitable cases, someone who loses particularly fulfilling work may seek compensation for loss of congenial employment, although this is not an automatic award for changing jobs. A weakened position in the labour market must also be supported by evidence, rather than presumed from a diagnosis. Before accepting a settlement, read why accident victims shouldn’t accept an offer before speaking to a lawyer. Settlements are generally final, making an early valuation risky. Keep evidence of your lost earnings, including payslips, tax records, pension information, contracts and correspondence about your return. Expert evidence may help assess future earnings.

Protecting a larger settlement

If you receive substantial compensation and claim means-tested benefits, ask how the payment will be treated. Personal injury compensation is normally disregarded for Universal Credit during the first 12 months after receipt. After that, money held personally may affect entitlement. A properly established personal injury trust can preserve the relevant capital disregard, subject to benefit rules and correct administration. Discuss the arrangements before settlement funds are paid, particularly if you receive benefits. Different means-tested benefits have their own rules, so check your individual circumstances carefully before payment.

Time limits and funding

In England and Wales, most adult personal injury claims must be issued in court within three years of the accident or the later date of knowledge, subject to exceptions. Children and people lacking capacity can have different limits. Under our no win no fee basis, if your claim isn’t successful, you won’t pay us anything. If it is successful, our fee is 20% plus VAT (24% in total), taken from the compensation you receive for your pain and suffering and for financial losses up to settlement. We never take a fee from compensation for future losses, such as future care or loss of earnings, and nothing else is deducted from your compensation. We’ll confirm all of this in writing before your claim starts. Our guide to how the personal injury claim process works explains the stages.

Frequently asked questions

Common questions about work following a serious injury.

Do I have to go back to work if my employer offers me a role I don’t think I can do?

You don’t have to accept duties that are genuinely unsafe or unsuitable for your medical condition. Discuss the role, fit note and occupational health advice with your employer. Refusing suitable work without good reason may affect compensation; seek advice.

Can I still claim compensation if I’ve gone back to work on the same pay?

Yes. You may still claim damages for the injury and past losses. If your lasting condition creates a genuine disadvantage when seeking other employment, an additional award may be considered even though your current salary is unchanged.

What if I’m self-employed?

You may claim lost earnings or profit where supported by evidence. Tax returns, accounts, invoices and business records can establish the effect of the injury. Document lost business opportunities too.

Will claiming compensation affect my benefits?

It can affect means-tested benefits after the applicable temporary disregard. For Universal Credit, personal injury compensation is normally disregarded for 12 months; a properly administered personal injury trust may protect it afterwards. Get individual advice before receiving payment.

How is future loss of earnings actually calculated?

The calculation depends on your age, pre-injury earnings, likely retirement, medical prognosis and realistic future work. Solicitors may use Ogden actuarial tables and expert evidence.

Talk to Mark Reynolds Solicitors

A serious injury may change when, how or whether you can work again, and the financial consequences deserve careful attention alongside rehabilitation. Mark Reynolds Solicitors can assess lost earnings, future employment prospects and the evidence needed before settlement. We offer no win, no fee funding on the terms explained above. Contact our team for a free, no-obligation conversation. We have offices in Liverpool, Runcorn and Warrington and can assist clients across England and Wales.