Partial win £13,272 awarded Employment Tribunal · 2 September 2022

Nurse dismissed after stroke: procedural unfairness in redeployment process

A Band 5 Staff Nurse with 21 years' service was unfairly dismissed after a stroke left him unable to return to his nursing role. The tribunal found the trust's failure to hold a final meeting made the dismissal procedurally unfair, but a fair process would have led to dismissal by September 2020. He was awarded £13,272.

1 min read · Last updated 18 May 2026

Case details

Key facts

  • The claimant suffered a stroke in May 2015 and took a 3-year career break.
  • He was placed on the redeployment register in January 2020 after being unable to return to his nursing role.
  • Two redeployment interviews were held but no suitable role was found.
  • The respondent failed to hold a final dismissal meeting or send a dismissal letter.
  • The tribunal found the dismissal procedurally unfair but that a fair procedure would have resulted in dismissal by 14 September 2020.
  • All disability discrimination complaints were dismissed.

Timeline

  1. Stroke

    The claimant suffered a stroke, leading to significant impairments.

  2. Career break agreed

    A 3-year career break was agreed to allow rehabilitation.

  3. Trust merger

    Aintree University Hospital NHS Foundation Trust merged to become Liverpool University Hospitals NHS Foundation Trust.

  4. Return to work meeting

    Meeting to discuss claimant's return; he expressed interest in clerical roles.

  5. Occupational Health report

    OH doctor examined claimant and recommended part-time clerical work with adjustments.

  6. Redeployment meeting

    Claimant placed on redeployment register with 12-week notice period.

  7. Clinic clerk interview

    Interview for clinic clerk role; claimant deemed unsuitable due to mobility and communication issues.

  8. Breast Screening interview

    Interview for Breast Screening Clerical Officer; claimant deemed unsuitable.

  9. TRAC system introduced

    Electronic redeployment system introduced; claimant received daily vacancy emails.

  10. Shielding letter

    Claimant told to shield due to COVID-19; redeployment period paused.

  11. Dismissal

    Claimant's employment terminated at end of extended redeployment period.

  12. Appeal and grievance

    Claimant sent letter appealing dismissal and raising grievance; respondent declined as out of time.

The outcome

The tribunal upheld the unfair dismissal claim but rejected all disability discrimination complaints. The trust's failure to hold a final dismissal meeting or issue a dismissal letter made the process unfair. However, the tribunal found that even with a fair procedure, the nurse would have been dismissed by 14 September 2020, limiting compensation.

Compensation breakdown:

  • Basic award: £10,846.15
  • Compensatory award: £2,426.21
  • Total: £13,272.36

Lessons & takeaways

  • Employers must follow their own procedures, including holding a final meeting and issuing a dismissal letter, even when the outcome seems inevitable.
  • Long-serving employees are entitled to a thorough process before dismissal, especially when health issues are involved.
  • Disability discrimination claims can be difficult to win if the employer has made reasonable efforts to accommodate the employee's needs.
  • A Polkey reduction can significantly limit compensation if the tribunal finds dismissal would have occurred anyway with a fair procedure.

A stroke, a career break, and a failed redeployment

This case shows what can happen when a long-serving employee becomes unable to do their job due to a serious health condition. The nurse, who had worked for the trust for 21 years, suffered a stroke in 2015 and took a three-year career break to rehabilitate. When he was ready to return, he could no longer work as a nurse but was keen to take on a clerical role. The trust placed him on its redeployment register and interviewed him for two positions, but both were deemed unsuitable due to his mobility and communication difficulties.

The redeployment period was extended because of the COVID-19 pandemic, but eventually the trust dismissed him without holding a final meeting or sending a formal dismissal letter. That procedural shortfall proved fatal to the trust's case.

What the trust could have done differently

The tribunal accepted that the trust had genuine capability concerns and that no suitable alternative role existed. However, the lack of a final meeting meant the employee was denied the chance to make representations before the decision was made. A simple step — holding a meeting and issuing a letter — would have made the dismissal fair. The trust also failed to consider an updated occupational health report that the employee had offered to obtain.

Why the result matters

This case is a reminder that even when an employer believes dismissal is inevitable, the process still matters. The trust's failure to follow its own procedures turned what might have been a fair dismissal into an unfair one. However, the employee's compensation was limited because the tribunal found that a fair process would have led to the same outcome just a few weeks later. The disability discrimination claims failed because the trust had made reasonable efforts to find alternative work and had not treated the employee unfavourably because of his disability.

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