Dismissed while hospitalised with sickle cell crisis: procedural failings made it unfair
A pharmacist with 20 years' service was unfairly dismissed by Whittington Health NHS Trust after being refused an extension to her notice period while hospitalised with a sickle cell crisis. The tribunal found indirect disability discrimination and a failure to make reasonable adjustments, awarding £16,884.
1 min read · Last updated 19 May 2026
Case details
- #sickle-cell-anaemia
- #long-term-sickness
- #redeployment
- #polkey-reduction
- #indirect-disability-discrimination
- #reasonable-adjustments
- #appeal-rights
Key facts
- The claimant was employed as a pharmacist from January 2002 and had sickle cell anaemia.
- She worked from home during the COVID-19 pandemic and was unable to return to on-site work due to her disability.
- The respondent dismissed her on grounds of incapability after a series of meetings and a 12-week notice period.
- While in hospital during her notice period, the claimant requested an extension to participate in redeployment, which was refused.
- The respondent failed to inform the claimant of her right to appeal.
- The tribunal found the dismissal unfair due to these procedural failings, but applied a 90% Polkey reduction.
Timeline
-
Employment started
Claimant began working as a band 6 pharmacist at Whittington Hospital.
-
Occupational health report
First occupational health report found no medical reason preventing return to work with adjustments.
-
Moving and handling assessment
Assessment concluded claimant was not fit to perform physical aspects of her role.
-
First sickness absence review meeting
Options discussed: redeployment within pharmacy, wider trust, or ill-health retirement.
-
Decision to dismiss
Claimant was told she would be dismissed on ill-health grounds with notice ending 18 April 2022.
-
Hospital admission
Claimant admitted to hospital with sickle cell crisis, unable to participate in redeployment.
-
Request to extend notice period
Claimant asked to extend notice period; request refused because leaver forms were processed.
-
Employment ended
Claimant's employment terminated at end of notice period.
-
Liability hearing
Five-day hearing on liability for unfair dismissal and discrimination claims.
-
Liability judgment
Tribunal found unfair dismissal, indirect disability discrimination, and failure to make reasonable adjustments.
-
Remedy hearing
Tribunal awarded total compensation of £16,884.40.
The legal issue
The tribunal had to decide whether the pharmacist's dismissal for incapability due to sickle cell anaemia was fair, and whether the Trust indirectly discriminated or failed to make reasonable adjustments by refusing to extend her notice period while she was in hospital.
The outcome
The tribunal found that the dismissal was procedurally unfair because the Trust refused to extend the notice period while the pharmacist was hospitalised with a sickle cell crisis, and failed to inform her of her right to appeal. However, it applied a 90% Polkey reduction, finding that a fair process would still have led to dismissal.
Compensation breakdown:
- Basic award: £8,444.24
- Compensatory award: £1,534.08 (after 90% Polkey reduction)
- Total: £16,884.40
Lessons & takeaways
- Employers should always inform employees of their right to appeal a dismissal, even in capability cases.
- Refusing a reasonable request to extend a notice period while an employee is hospitalised can amount to indirect disability discrimination.
- Long-serving employees are entitled to a fair process, including the opportunity to participate in redeployment discussions.
- A Polkey reduction can significantly reduce compensation if the tribunal finds dismissal was likely even after a fair process.
A procedural failure with serious consequences
A pharmacist with 20 years' service at Whittington Health NHS Trust was dismissed on capability grounds after sickle cell anaemia prevented her from returning to on-site work. The tribunal found that while the Trust had genuine concerns about her ability to perform her role, the way it handled the dismissal was unfair.
The key failing occurred when the pharmacist was admitted to hospital with a sickle cell crisis during her notice period. She asked for an extension so she could participate in redeployment discussions, but the Trust refused, saying her leaver forms had already been processed. The tribunal found this refusal amounted to indirect disability discrimination and a failure to make reasonable adjustments.
What the Trust could have done differently
The Trust could have paused the process when the pharmacist was hospitalised, granted a short extension to her notice period, and allowed her to engage in redeployment once she was well enough. It also failed to tell her about her right to appeal, which the tribunal said was a basic procedural requirement.
Despite these failings, the tribunal applied a 90% Polkey reduction, meaning it found there was a 90% chance the pharmacist would have been fairly dismissed even after a proper process. This significantly reduced the compensation from what it might otherwise have been.
Why this case matters
This case shows that even where an employer has a genuine capability concern, procedural fairness matters. Refusing a reasonable adjustment during a medical crisis, and failing to inform an employee of appeal rights, can turn an otherwise fair dismissal into an unfair one. However, the substantial Polkey reduction also highlights that tribunals will look at what would have happened anyway, which can limit compensation.
Similar cases
20-year manager dismissed for capability after employer refused to adjust role for disability
A Global Governance Risk and Compliance Manager with 20 years' service was unfairly dismissed and discriminated against after GlaxoSmithKline failed to make reasonable adjustments for her hand disability. The tribunal awarded £24,785 for injury to feelings.
Dismissed after 12 years due to long-term sickness: employer's redeployment efforts upheld
A Food Technology Technician with 12 years' service was fairly dismissed for capability after a long-term sickness absence, the tribunal ruled, finding the employer had properly considered redeployment and made reasonable adjustments.
Long-term sick nurse dismissed: capability process found fair despite disability
A staff nurse with 12 years' service who was dismissed after two years' sick leave and failed redeployment attempts has lost her unfair dismissal and disability discrimination claims.
Dismissed after a stroke: employer refused home working despite medical advice
A lettings manager who suffered a stroke was unfairly dismissed after his employer refused to allow him to work from home. The tribunal awarded £27,664.
