{{org_field_logo}}
{{org_field_name}}
Registration Number: {{org_field_registration_no}}
Staff Leave and Absence Policy
1. Purpose
The purpose of this policy is to establish clear guidelines for the management of staff leave and absences at {{org_field_name}}, ensuring that all requests for leave and unplanned absences are handled fairly, consistently, and efficiently while maintaining safe staffing levels and continuity of care for the people we support.
This policy ensures compliance with CQC Fundamental Standards, the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, current employment law and statutory leave and pay entitlements. It provides a structured process for requesting, recording and managing annual leave, sickness absence, compassionate leave, maternity, paternity, adoption, shared parental leave, unpaid parental leave, carer’s leave, neonatal care leave and other statutory or contractual leave. It also reflects the statutory sick pay changes effective from 6 April 2026, including payment from the first full day of sickness absence where eligibility criteria are met.
By implementing this policy, {{org_field_name}} aims to:
- Ensure safe staffing levels at all times, maintaining high-quality care and service provision.
- Provide clear guidelines for staff leave entitlement, requests, and approvals.
- Support employees’ health, well-being, and work-life balance.
- Reduce disruptions to care delivery caused by staff absences.
All employees are required to adhere to this policy to ensure fairness, transparency, and compliance with employment laws and CQC regulations.
2. Scope
This policy applies to:
- All employees and workers engaged directly by {{org_field_name}}, including full-time, part-time, fixed-term, casual and bank staff.
- Agency staff, insofar as the policy relates to reporting absence, rota cover, safe staffing, continuity of care and communication with the supplying agency. Statutory or contractual pay arrangements for agency staff will normally be managed by the agency unless otherwise agreed in writing.
- Registered managers, team leaders, and HR personnel, responsible for approving and managing leave requests.
- External agencies, where agency staff are used to cover absences.
It covers all types of leave and absence, including:
- Annual leave.
- Sickness absence and Statutory Sick Pay.
- Compassionate leave and parental bereavement leave.
- Maternity, paternity, adoption and shared parental leave.
- Unpaid parental leave.
- Carer’s leave.
- Neonatal care leave and pay.
- Emergency time off for dependants.
- Unpaid leave and career breaks.
- Unauthorised absence and persistent absence.
3. Legal and Regulatory Framework
This policy complies with:
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – Regulation 17: Good governance, which requires effective systems and processes to assess, monitor and improve the quality and safety of services and to maintain accurate, complete and contemporaneous records, including records relating to staffing, leave and absence management.
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – Regulation 18: Staffing, which requires providers to deploy sufficient numbers of suitably qualified, competent, skilled and experienced staff to meet people’s needs safely.
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – Regulation 19: Fit and proper persons employed, where relevant to staff availability, fitness to work, reasonable adjustments, sickness absence and safe deployment. CQC Regulation 19 is intended to ensure providers only employ fit and proper staff who can provide care and treatment appropriate to their role.
- Employment Rights Act 1996, governing statutory leave entitlements, employee rights, unfair dismissal protections, unpaid parental leave, time off for dependants and related employment protections.
- Employment Rights Act 2025, including statutory sick pay changes and the day-one right to give notice for paternity leave and unpaid parental leave from 6 April 2026.
- Social Security Contributions and Benefits Act 1992, as amended, and associated Statutory Sick Pay Regulations.
- Working Time Regulations 1998, setting out rules on working time, rest breaks and annual leave entitlements.
- Equality Act 2010, requiring leave and absence processes to be applied fairly and without discrimination, including consideration of reasonable adjustments for disabled employees.
- Carer’s Leave Act 2023 and Carer’s Leave Regulations 2024, providing eligible employees with a day-one right to unpaid carer’s leave.
- Neonatal Care Leave and Pay legislation, providing eligible parents with statutory neonatal care leave and, where eligible, statutory neonatal care pay.
- Relevant Acas guidance, HMRC guidance and GOV.UK statutory leave and pay guidance.
4. Annual Leave
4.1 Entitlement
Employees are entitled to the statutory minimum of 5.6 weeks’ paid annual leave in each leave year (this includes bank holidays if they are normally taken as leave under the contract). Leave is calculated pro-rata in weeks for part-time staff. For irregular hours and part-year workers, for leave years beginning on or after 1 April 2024, statutory leave accrues at 12.07% of hours worked (unless the contract provides a more generous entitlement). Some employees may have additional leave entitlements based on their contracts.
Annual leave arrangements must be managed so that staff are able to take their statutory leave while ensuring that safe staffing levels are maintained. Managers must consider dependency levels, planned appointments, activities, medication rounds, moving and handling needs, end-of-life care needs, safeguarding risks and the skill mix required on each shift before approving leave.
Annual leave:
- Must be requested in advance (at least four weeks’ notice is required).
- Carry-over of statutory holiday must be allowed where required by law, including (but not limited to):
- where a worker is unable to take holiday due to long-term sickness, they may carry over up to 4 weeks and must be allowed to take it within 18 months from the end of the leave year in which it accrued; and
- where a worker is unable to take holiday due to statutory family-related leave (for example maternity, adoption, shared parental leave), they must be allowed to carry over the holiday they could not take into the next leave year.
Managers must ensure staff have a reasonable opportunity to take leave and that decisions are recorded.
- Is approved based on staffing levels to ensure adequate cover.
- Should be spread throughout the year, with no excessive leave taken at peak operational times.
4.2 Requesting Annual Leave
To request annual leave, employees must:
- Submit a written request to their line manager.
- Await approval before finalising any plans.
- Ensure adequate staffing levels are maintained during requested leave periods.
- Avoid booking leave during critical periods unless exceptional circumstances apply.
Requests should be sent to the Registered Manager at {{org_field_registered_manager_email}} or {{org_field_registered_manager_phone}}.
4.3 Holiday pay for irregular hours and part-year workers (leave years from 1 April 2024)
For leave years beginning on or after 1 April 2024, the organisation may use rolled-up holiday pay for workers who meet the definition of irregular hours or part-year workers, where lawful and where the contract and payslips clearly show the holiday pay element. Rolled-up holiday pay must be calculated and itemised in line with current legal requirements and Acas guidance.
5. Sickness Absence
5.1 Reporting Sickness
If an employee is unwell and unable to attend work, they must:
- Notify their line manager, nurse in charge or the Registered Manager before their scheduled shift starts, preferably at least two hours in advance unless this is not reasonably practicable.
- Give the reason for the absence, the expected duration of absence and whether they have any symptoms or diagnosis that may present an infection prevention and control risk to people using the service, colleagues or visitors.
- Confirm whether any planned duties, key worker tasks, medication responsibilities, appointments, handovers or allocated care tasks need urgent reallocation.
- Keep their manager updated during the absence, including any change in expected return date.
- Follow any infection prevention and control advice, occupational health advice or medical advice before returning to work.
Failure to report sickness absence properly may result in disciplinary action.
5.2 Certification Requirements
- For sickness absences of 7 calendar days or fewer, employees must complete a self-certification form on return to work.
- For sickness absences of more than 7 calendar days, employees must provide a fit note.
- If sickness is ongoing, the employee must provide updated fit notes promptly and must keep the manager informed of any change in circumstances.
- Fit notes, self-certification forms and return-to-work records must be kept confidentially and in line with data protection requirements.
5.3 Sick Pay Entitlement
Employees may be entitled to Statutory Sick Pay (SSP), subject to statutory eligibility criteria.
From 6 April 2026, SSP is payable from the first full day of sickness absence where the employee meets the relevant eligibility criteria. The previous three waiting days no longer apply for new qualifying sickness absences starting on or after 6 April 2026.
From 6 April 2026, the Lower Earnings Limit for SSP has been removed. Eligible employees may qualify for SSP regardless of their weekly earnings. SSP will be calculated in accordance with current statutory requirements, which provide that the amount payable is the lower of:
- the current flat weekly SSP rate; or
- 80% of the employee’s normal weekly earnings.
SSP rates and calculation rules may change annually. {{org_field_name}} will apply the current statutory rate and HMRC/GOV.UK guidance in force at the time of the absence rather than relying on a fixed rate written into this policy.
Some employees may receive contractual sick pay, depending on their contract of employment. Contractual sick pay includes SSP unless the contract states otherwise. Where contractual sick pay is provided, it will be administered in line with the employee’s contract, this policy and any applicable statutory requirements.
Long-term sickness absence will be managed supportively and fairly. This may include welfare meetings, occupational health advice, risk assessments, consideration of reasonable adjustments, phased return arrangements and review of whether the employee remains fit to undertake their role safely.
Managers must ensure that sickness absence is recorded accurately and that any staffing shortfall arising from sickness absence is escalated and managed promptly to maintain safe care.
5.4 Transitional SSP Arrangements for Absences Spanning 6 April 2026
Where a sickness absence started before 6 April 2026 and continued on or after 6 April 2026, the organisation will apply the statutory transitional rules in force at the time. Managers must seek payroll or HR advice where an absence spans 6 April 2026 to ensure SSP is calculated correctly.
Where an employee returns to work after 6 April 2026 and later has a new sickness absence, SSP will be assessed under the post-6 April 2026 rules, even where the absence may be linked to an earlier period of incapacity.
5.5 Infection Prevention and Control
Because {{org_field_name}} provides care and support to people who may be at increased risk from infection, employees must not attend work if they are unfit to work or if attending work would create an avoidable infection risk.
Employees must inform their manager promptly if they have symptoms of infectious illness, including vomiting, diarrhoea, fever, respiratory symptoms, unexplained rash or any confirmed infectious condition. The manager will consider current public health guidance, infection prevention and control guidance, occupational health advice and service risk assessments before confirming when the employee may return to work.
Where absence or exclusion from work is required for infection prevention and control reasons, pay will be managed in accordance with the employee’s contract, SSP rules and any applicable statutory or organisational arrangements.
6. Compassionate and Emergency Leave
6.1 Compassionate Leave
Employees may be granted up to five days of paid compassionate leave following the death of an immediate family member, subject to the employee’s contract, individual circumstances and approval by the Registered Manager. Additional paid or unpaid leave may be granted at the manager’s discretion.
Where an employee suffers the death of a child under 18 or a stillbirth after 24 weeks of pregnancy, they are entitled to up to 2 weeks’ statutory parental bereavement leave, which can be taken within 56 weeks of the date of death/stillbirth. Eligible employees may also qualify for Statutory Parental Bereavement Pay. This statutory entitlement applies regardless of any discretionary/contractual compassionate leave offered above.
6.2 Emergency Leave for Dependents
Employees may take reasonable unpaid leave to deal with emergencies involving dependents (e.g., a sick child, partner, or elderly relative). This should be reported to the Registered Manager at {{org_field_registered_manager_email}} or {{org_field_registered_manager_phone}} as soon as possible.
7. Maternity, Paternity, Adoption, Shared Parental, Parental, Carer’s and Neonatal Care Leave
Employees are entitled to statutory family-related leave and pay in accordance with current employment law, their contract of employment and relevant GOV.UK guidance. Employees should notify HR or the Registered Manager as early as possible so that leave, pay, rota planning and safe staffing arrangements can be managed appropriately.
- Maternity Leave: Eligible employees can take up to 52 weeks of maternity leave. Statutory Maternity Pay may be payable for up to 39 weeks where eligibility criteria are met.
- Paternity Leave: Eligible employees can take up to 2 weeks’ statutory paternity leave. For children born or placed for adoption on or after 6 April 2024, paternity leave may be taken as either one block of two weeks or two separate one-week blocks and may be taken within the first year after the birth or adoption placement, subject to statutory notice requirements.
- Paternity Leave from 6 April 2026: For children born, expected to be born, or placed for adoption on or after 6 April 2026, employees are eligible to give notice to take paternity leave from the first day of employment, subject to the statutory notice requirements. The qualifying period for Statutory Paternity Pay remains separate and must be assessed under the statutory pay rules in force at the time.
- Shared Parental Leave: Eligible parents may share leave and pay where statutory eligibility and notice requirements are met.
- Adoption Leave: Eligible employees adopting a child have statutory adoption leave rights broadly comparable to maternity leave rights.
- Unpaid Parental Leave: From 6 April 2026, employees are eligible to give notice to take unpaid parental leave from the first day of employment, subject to statutory eligibility and notice requirements.
- Carer’s Leave: Employees have a statutory day-one right to take up to one week of unpaid carer’s leave each year to provide or arrange care for a dependant with a long-term care need.
- Neonatal Care Leave and Pay: For babies born on or after 6 April 2025, eligible parents may take statutory neonatal care leave where their baby receives neonatal care meeting the statutory criteria. Eligible employees may also qualify for Statutory Neonatal Care Pay. This leave is in addition to other statutory family-related leave.
Managers must ensure that family-related leave is planned and recorded appropriately and that any impact on rota cover, skill mix, continuity of care and safe staffing is reviewed in advance wherever possible.
8. Discretionary Unpaid Leave and Career Breaks
Employees may apply for discretionary unpaid leave or a career break, subject to managerial approval. Each request will be considered fairly and consistently, taking into account:
- the reason for the request;
- the employee’s role and contractual arrangements;
- staffing levels and skill mix;
- the needs, safety and wellbeing of people using the service;
- continuity of care;
- any relevant equality, disability, pregnancy, maternity, caring or family-related considerations; and
- whether the request relates to a separate statutory entitlement, such as unpaid parental leave, carer’s leave or time off for dependants.
Requests should be submitted in writing to the Registered Manager at {{org_field_registered_manager_email}} or {{org_field_registered_manager_phone}}.
Discretionary unpaid leave and career breaks are separate from statutory leave entitlements. Where a statutory right applies, the organisation will apply the relevant statutory rules.
9. Managing Persistent or Unauthorised Absences
9.1 Monitoring Absence Levels
Frequent, patterned or prolonged absences will be monitored to:
- identify whether there are underlying health, disability, wellbeing, work-related or personal issues;
- identify any patterns, such as repeated absence before or after rostered days off, annual leave, weekends or bank holidays;
- offer support, including supervision, welfare meetings, occupational health referral and signposting to wellbeing support;
- consider reasonable adjustments where the employee may have a disability under the Equality Act 2010;
- assess any impact on safe staffing, continuity of care, staff wellbeing and agency use;
- identify whether rota planning, workload, infection prevention and control issues, training needs or workplace risks may be contributing to absence; and
- take appropriate action where absence affects the safe and effective running of the service.
Absence monitoring must be carried out fairly, consistently and without discrimination.
9.2 Unauthorised Absence and Disciplinary Action
If an employee is absent without prior approval and without following the absence reporting procedure, the absence may be treated as unauthorised. Unauthorised absence can create risks to safe staffing, continuity of care and the wellbeing of people using the service.
Managers must make reasonable efforts to contact the employee and confirm the reason for absence before deciding on further action. Where there is no satisfactory explanation, or where absence reporting procedures are repeatedly breached, the matter may be managed under the organisation’s disciplinary procedure.
Repeated or excessive absence without valid reason may result in formal action, up to and including dismissal, in line with the disciplinary procedure, employment law and the employee’s contractual rights.
9.3 Staffing Escalation and Continuity of Care
To meet Regulation 18, managers must ensure that approving leave and managing absences does not compromise safe staffing, people’s assessed needs, continuity of care or the safe running of the service.
Before approving leave, and when responding to unplanned absence, the manager must consider:
- the number of staff required on duty;
- the skill mix required, including nurses, senior carers, medication-trained staff and staff competent in moving and handling;
- the dependency levels, assessed needs and known risks of people using the service;
- any safeguarding, end-of-life care, one-to-one support, falls, choking, nutrition, hydration, distressed behaviour or complex care risks;
- planned appointments, admissions, discharges, activities or external visits;
- staff fatigue, working time limits and rest breaks;
- whether agency or bank staff are familiar with the service and the needs of people using it; and
- whether additional management support or escalation is required.
Where a staffing shortfall arises, the manager on duty must follow the service escalation arrangements. This may include redeployment, use of bank staff, agency cover, adjustment of non-essential duties, senior management escalation and prioritisation of essential care and safety tasks.
All actions taken to manage staffing shortfalls must be recorded. In line with Regulation 17, absence trends, leave patterns, agency use and staffing shortfalls must be reviewed through governance systems to identify risks, improve planning and maintain accurate records.
10. Return to Work Process
Employees returning from sickness absence must complete a return-to-work process with their line manager or the Registered Manager. This should normally take place as soon as reasonably practicable after the employee returns.
The return-to-work discussion must include:
- the reason for the absence;
- confirmation that the employee is fit to return to work;
- whether a self-certification form or fit note is required;
- whether there are any ongoing symptoms, treatment, medication side effects or restrictions that may affect the employee’s ability to work safely;
- whether there is any infection prevention and control risk;
- whether workplace factors contributed to the absence;
- whether support, reasonable adjustments, occupational health advice or a phased return should be considered; and
- whether any absence triggers or further review meetings are required.
Where applicable, occupational health advice may be sought to ensure the employee is fit to return to work safely and to identify reasonable adjustments or support.
Return-to-work records must be completed accurately and stored confidentially.
11. Equality, Disability and Reasonable Adjustments
{{org_field_name}} will manage leave and absence fairly, consistently and without discrimination. Managers must consider whether an employee’s absence may be related to a disability, pregnancy, maternity, menopause, long-term health condition, caring responsibilities or another protected characteristic under the Equality Act 2010.
Where an employee may be disabled under the Equality Act 2010, reasonable adjustments must be considered. These may include, depending on the circumstances and service needs:
- amended duties;
- amended hours;
- a phased return;
- changes to shift patterns;
- additional supervision or support;
- adjustments to absence triggers;
- workplace adaptations;
- occupational health referral; or
- temporary changes to responsibilities.
Reasonable adjustments must be considered alongside the provider’s duty to maintain safe staffing and safe care for people using the service.
12. Policy Review
This policy will be reviewed annually or sooner if there are changes to employment law, statutory pay and leave rules, CQC regulations, CQC guidance, Acas guidance, HMRC/GOV.UK guidance or organisational needs.
The Registered Manager or nominated senior person will ensure that this policy remains aligned with current legislation, CQC Fundamental Standards, safe staffing requirements and good governance expectations.
Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
Copyright © {{current_year}} – {{org_field_name}}. All rights reserved.