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Explainer

Stay-in-work and return-to-work plans.

The government wants employers to keep more people in work and get more people back after illness. Here is what stay-in-work and return-to-work plans are, and a simple way for a small team to run them well.

Last updated: 13 July 2026. This is a live policy programme; we update this page as it develops.

Short answer

A stay-in-work plan is a short, agreed set of adjustments that helps someone keep working when their health is affecting them. A return-to-work plan is an agreed plan for bringing someone back after a period of absence, kept in touch and eased in rather than dropped straight back to full duties. Both come from the Keep Britain Working review's Workplace Health Provision, and both are designed to stop short-term sickness from turning into long-term absence.

What these plans are

The Keep Britain Working review puts two simple tools at the centre of keeping people in work. A stay-in-work plan is for someone who is still working but struggling: a short, practical agreement about adjustments and flexibility that lets them keep going rather than tipping into sickness absence. A return-to-work plan is for someone who has been off: an agreed way to bring them back, staying in contact during the absence and easing them in rather than expecting full duties from day one.

The review suggests a return-to-work plan should be in place from around six weeks into an absence, with contact maintained in the meantime, because the longer someone is off and out of touch, the harder coming back becomes.

Once someone has been off sick for six months, their chance of ever returning to that job falls sharply. Early contact and a plan are the single biggest lever a small employer has.
Framing per the Keep Britain Working review (Sir Charlie Mayfield), 2026, which sets a return-to-work plan from around six weeks of absence.

Why they matter more for small firms

A big employer has HR and occupational health to catch this. In a small firm, someone goes off sick, everyone is busy, contact quietly drops, and six weeks later nobody has spoken to them. That is how a manageable absence becomes a permanent loss of a good person, and the cost of replacing them dwarfs the cost of a phone call and a plan. Getting this right is one of the highest-return, lowest-cost things a small employer can do.

A simple stay-in-work plan

  • Notice early. A light, regular wellbeing check-in tells you someone is struggling before they hit the wall.
  • Have the conversation. Ask what would help. Often it is small: adjusted hours, a lighter load for a fortnight, working from home, a break from a specific task.
  • Write it down and set a review date. A few lines, agreed by both sides, with a date to check in. That record is also your evidence you acted.

A simple return-to-work plan

  • Stay in touch during the absence. Agree how and how often, so coming back is not a cold start.
  • Plan the first few weeks. Phased hours, reduced duties, or a temporary change, easing up to full over an agreed period.
  • Agree it together, and keep it dated. The plan is between the employee and the employer. A dated record is both good practice and your evidence.

Where to start

These plans work best when they sit inside a wider habit of measuring how people are doing and acting on it. Our free 4-minute Strategy Audit tells you whether that habit actually exists in your business, and names your biggest gap. No call, no card.

Take the free Strategy Audit

The early-warning part, spotting who is struggling before they go off, is what our free non-clinical wellbeing pulse, the Intelligent Wellbeing Engine, is built for. It is the measurement layer, not a separate purchase.

Read next

What absence data employers will track · The workplace health standard, explained

← Back to the full Keep Britain Working guide

Quick questions

What people ask.

When should a return-to-work plan be in place?

The Keep Britain Working review points to a return-to-work plan from around six weeks into an absence, with contact maintained in the meantime. The principle is to keep in touch early rather than letting an absence drift.

What is the difference between a stay-in-work and a return-to-work plan?

A stay-in-work plan helps someone who is still working but struggling to keep working, through adjustments and flexibility. A return-to-work plan helps someone who has already been off come back gradually. Both aim to stop short-term sickness becoming long-term absence.

Do small employers have to do this by law?

These specific plans come from the Keep Britain Working review and are good practice rather than a standalone legal duty. Separately, employers already have duties around reasonable adjustments and duty of care, so having a simple, documented process is sensible either way.

What is the cheapest way to get this right?

Notice early and act early. A light, regular wellbeing check-in flags who is struggling, an honest conversation finds the adjustment that helps, and a few dated lines record the plan. None of it needs occupational health or a budget.

Keep your people in work, and prove you tried.

The free 4-minute Strategy Audit scores whether your wellbeing strategy genuinely runs and names your biggest gap. No call, no card.

Take the free Strategy Audit