Why Workplace Needs Assessments are Better than Occupational Health Assessments for Neurodivergent Employees

Photograph of Jenefer Livings, Founder of Silk Helix Ltd
UPDATED 4 May 2025
First Published: 14 August 2024

Occupational Health Assessments have been the go to for HR departments when considering the impact of a disability on an individual’s work. Whilst this will be relevant for many situations, Occupational Health comes from the medical model of disability which is often not appropriate for neurodivergent employees.

It is crucial to understand why a Workplace Needs Assessment is particularly effective compared to traditional occupational health assessments for neurodivergent employees. Both assessments aim to support employees in their work environment, but the approach, focus and outcomes of workplace needs assessments make them especially beneficial for neurodivergent individuals.

Occupational Health Assessment are usually carried out in reaction to high levels of absence or long term absence, with a view to assessing whether the individual is fit for work. Workplace Needs Asssessments on the otherhand are proactive and should be carried out as soon as a need is disclosed. Workplace needs assessments look at the individual as a whole, considering their strengths and the barriers to them succeeding at work in order to make recommendations of practical adjustments that can be put in place to enable an individual to thrive.

Tailored Approach to Neurodiversity

  1. Specialised Understanding Workplace needs assessments are conducted by assessors with specialised knowledge and in our case lived experience of neurodiversity. This contrasts with occupational health assessments, which often have a broader focus on physical and general mental health. Assessors with expertise in neurodiversity can provide insights and recommendations that are specifically tailored to the unique challenges and strengths of neurodivergent individuals.

  2. Holistic Evaluation These assessments consider the whole person, including their work environment, job tasks and individual coping strategies. Occupational health assessments tend to be more medical in nature, focusing on diagnosing conditions and prescribing medical or therapeutic interventions. While these are important, they do not always address the practical, day-to-day needs of neurodivergent employees in the workplace.

Focus on Practical Recommendations

  1. Work-Specific Recommendations Workplace needs assessments provide practical, actionable recommendations that directly impact an employee’s ability to perform their job. For example, they might suggest specific software, task management strategies or modifications to the work environment that can make a significant difference. Occupational health reports will often recommend workplace needs assessments in order to achieve the specificity needed for effective workplace adjustments.

  2. Immediate Implementation The recommendations from workplace needs assessments can often be implemented quickly and with relative ease. They focus on adjustments that can be made within the workplace and that provide immediate benefits.

Enhanced Empathy and Understanding

  1. Empathy and Relatability Assessors with lived experience of neurodiversity bring a level of empathy and understanding that is hard to match in a traditional occupational health setting. They can relate to the experiences of neurodivergent employees on a personal level, creating a more supportive and effective assessment process. Employees tell us this makes them feel heard, understood and valued.

  2. Building Trust The empathetic approach of a workplace needs assessment can build trust between the employee and the assessor. This trust is crucial for accurately identifying needs and developing effective adjustments. A workplace needs assessment also creates trust between employer and employee, it demonstrates to the individual that as an employer you want to understand how you can support them and are exploring all the options for reasonable adjustmets. Making a workplace needs assessment standard practicce to demonstrate a proactive approach to support is in contrast to occupational health assessments which are usually carried out as a reaction to high levels of absence with a view to assessing fitness for work.

  1. Alignment with Legal Standards Workplace needs assessors with a background in HR and employment law ensure that recommendations comply with legal requirements and are understanding to the needs of disciplinary, performance or absence management processes. This dual expertise helps protect the employer from potential legal risks and ensures that employees’ rights are fully respected. Occupational health assessments, while comprehensive in health-related matters, may not always provide the same level of expertise in employment law and creating inclusive workplaces.

  2. HR Integration These assessors can seamlessly integrate their recommendations with the company’s HR policies and procedures. They understand the intricacies of workplace dynamics and can provide solutions that are both legally compliant and practically viable within the organisational framework. Where current organisational culture is putting up barriers for neurodivergent employees we can work with an organisation to create inclusive workplaces through providing training and consultancy support. Occupational health assessments, focused primarily on health, might not fully account for these HR complexities.

Proactive and Preventative Focus

  1. Preventing Issues Before They Arise Workplace needs assessments when done proactively such as at the start of employment, will identify and address potential issues before they impact performance or well-being. This forward-thinking approach contrasts with the often reactive nature of occupational health assessments, which may focus on addressing existing health problems rather than preventing new ones. A workplace culture that encourages disclosure and is supportive can help to ensure proactive action can be taken. Where this hasn’t happened and disclosure comes during a performance process for example, a workplace needs assessment can help to address and solve the issues.

  2. Continuous Improvement These assessments promote a culture of continuous improvement. Regular reassessments and adjustments ensure that accommodations remain effective and relevant as job roles and employee needs evolve. Occupational health assessments, typically conducted at intervals or in response to specific health issues, may not offer the same level of ongoing support.

Conclusion

While occupational health assessments play a vital role in supporting general employee health and well-being, workplace needs assessments offer a more targeted, practical, and empathetic approach for neurodivergent employees. By focusing on personalised adjustments, legal compliance and proactive support, these assessments create a work environment where neurodivergent employees can thrive. This tailored approach not only benefits the employees but also enhances overall organisational productivity and inclusivity.

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