Hi Keith
The employer could refer the employee to an independent occupational health Dr for assessment, and determine whether they could do alternative duties. In my experience a GP will usually sign them off, but if they do come back then they need a new certificate restricting what thy can actually do.

I'm not sure where you are located but Working For Health (in New Plymouth) or another OCC Health expert might be able to provide more advice.

On the second matter it's your word against theirs, even on the referral to HR, unfortunately. How would you prove it?

Hi Keith,
Hopefully this is not all about LTI stats and trying to reduce them! They are largely meaningless.

GPs always advocate for their patients. I agree with Stuart that you need an independent view of an occ health specialist. We do this regularly and quite successfully. Also if your organisation has written policy on this as you indicate, then that employee would appear to be in breach of that policy.

Also agree with Stuart that ACC take a claimant's word as gospel, until it is proven otherwise. Which is difficult. An example would be a person claiming a workplace incident, when upon investigation it was found the day of injury was when they were on annual leave. I have seen this once.

Hi Keith,

"unwilling to engage in your process "

There is opportunity to examine this from an HR perspective. It sounds like you have a clear process that the worker is not following before they get to the Doctor. Your HR people will know how to deal with workers that do not follow procedure.

and until then was not reported to the business.

Same answer for this second example. Being unfit for work and being disciplined for not following procedure are not mutually exclusive. Both can happen. I hope I don't sound too ruthless. You might want to examine the worker comprehension and retention after these toolbox meetings and while you know about the Doctor's letter, does anyone-else know about it and really understand why you have it?

There is no doubt they are time away from work injuries but how do you report them?

As lost time injuries. That is why we have letters for doctors and reporting processes. We try to avoid the lost time or the misclassification in the first place. IMHO, its rare to get data that is absolutely clean and accurate. You would also have a good argument as to why LTI data is inaccurate and not a useful indicator.

we have tried to get ACC to reclassify an injury

Good luck! I'm a few years out of date but last I dealt with it the health and ACC system doesnt like mis-classified injuries being reclassified into other types of injuries. The multitude of different information systems do not easily propagated a change through the network.

Changing a claim for work-related injury to personal injury is even harder. I've been involved in that several times and the employer is definitely on the back foot. Verifiable evidence is the only thing I've seen that will change ACC's mind.

I had an ACC claim and it took me about 2 months and a lot of documents to convince them that it could have happened at work as the date was a Sunday and involved a car being repaired, we don't repair vehicles. It was a painful process as ACC did not believe that the doctor and the worker had it wrong.