Work and epilepsy

This page shares advice to support you to find and stay in work if you have epilepsy. Find out about your rights and how employers can support you.

It also has information about what you can do if you’re having problems at work

Colleagues working together at a laptop

Key points

  • In most cases epilepsy is considered as a disability, so you’re protected under the Equality Act
  • Your employer must keep you safe at work. A risk assessment and reasonable adjustments are ways of doing this
  • There are organisations to support you in finding work if you have epilepsy
  • Help and advice are available if you are having problems at work because of your epilepsy
  • Our employment page explains how employers can support people with epilepsy

Do I have a disability if I have epilepsy?

Many people with epilepsy don’t think of themselves as disabled. But epilepsy is usually considered as a disability under the equality laws.

Here’s why:

  • It is a physical long-term condition lasting longer than 12 months
  • Epilepsy might negatively impact your life if you didn’t take medicine to control seizures

There are laws in the UK that protect people with disabilities. This is the Equality Act in England, Scotland and Wales. The Disability Discrimination Act applies in Northern Ireland.

 

In terms of work, the law protects you in these different stages:

  • Application and interview processes
  • Interview arrangements
  • Ability tests
  • Job offers
  • Terms of employment, including pay
  • Promotion, transfer and training opportunities
  • Dismissal or redundancy
  • Discipline and grievances

Telling work about your epilepsy

  • Do I have to tell an employer about my epilepsy?

    By law you don’t have to tell your employer about your epilepsy. This applies to your current employer or a possible future one.

    If your epilepsy doesn’t affect you doing your job, you don’t have to tell your employer. But you must tell your employer if you think that your epilepsy will affect your own safety or the safety of other people around you. For example, if your role means you use equipment that might cause an injury if you have a seizure whilst using it.

    You may worry about telling your employer, but it means that they will be able to help you. An employer can make reasonable adjustments and make sure you’re safe at work. This is especially important if you are struggling with parts of your job. Your employer is legally required to make any reasonable adjustments to support you.

    Epilepsy Action has more information about your rights with epilepsy.

     

    The Health and Safety at Work Act

    The Health and Safety at Work Act 1974 also helps to protect people from discrimination.

    This law means that employers must provide a safe workplace. They must protect their employees from any possible danger to their health at work. As an employee, you also have a responsibility to take care of your own and other people’s health and safety at work. Think about whether a seizure could affect your own safety, or someone else’s.

  • When is it a good time to tell people about my epilepsy?

    Your employer

    If you decide to tell your employer about your epilepsy, it’s a good idea to do it before you start the job. This gives them time to make any reasonable adjustments you need.

    You can change your mind and tell them at any time if you decide not to tell them straight away. Once you have told them, they should look to put in place reasonable adjustments. These should aim to reduce or remove any disadvantage caused by your epilepsy. You will be covered under the Equality Act as soon as you have told them that you have epilepsy.

    You might be diagnosed with epilepsy while you’re working. You can speak to your line manager or human resources (HR) department. They can make reasonable adjustments to look after your health and wellbeing if needed.

    Employers can learn about how to look after staff with epilepsy in our information page for employers.

     

    The people you work with

    It’s your decision whether you tell the people you work with about your epilepsy. If you do let them know, they might feel more confident about helping you if you have a seizure.

    Your employer can tell your colleagues about your epilepsy for you. But only if you agree to this and give your consent.  They should talk to you about how you want to tell people. It might also be a good opportunity for your colleagues to learn more about epilepsy and how to help you.

    We have Epilepsy awareness training for colleagues.

Visit our page for employers

Epilepsy training for employers

Epilepsy Action training to support people with epilepsy in the workplace

Learn more

What is a reasonable adjustment?

Reasonable adjustments are changes that employers and organisations can make to help people with disabilities. It makes sure they aren’t at a disadvantage compared to someone without a disability.

Examples of reasonable adjustments include:

  • Making changes to recruitment processes and interviews
  • Flexible working hours
  • Providing training or mentoring
  • Changing or using different equipment
  • Helping to reduce your seizure triggers, such as stress and tiredness
  • Allowing time off for treatment or appointments as part of disability leave

Reasonable adjustments have to be realistic for the employer and for you. Many reasonable adjustments involve little or no cost. If there are costs involved, funding might be available from Access to Work. This government scheme can fund different sources of support to help you. This could be specialist equipment, a support worker, or transport costs. Find out more on the gov.uk website.

Your employer should make reasonable adjustments to help you. It could be against the law if they don’t. But sometimes it might not be possible to make a job safe if you have seizures.  Not making reasonable adjustments in this situation may be legal.

You might not need any adjustments if you are seizure-free or wouldn’t be harmed if you had a seizure at work.

 

Flexible working

You could ask for flexible working as a reasonable adjustment. This means making changes to your working patterns to help you work in a way that suits your needs.

There are different types of flexible working. For example:

  • Working from home – this has become more common after the pandemic. There are advantages and disadvantages of working from home. It may be a risk for you to work alone at home if you have a seizure. But, it may help to avoid seizure triggers by reducing stress and tiredness. Your employer can include working from home in your risk assessment to help you be safe.
  • Flexitime – this is where you work core hours, but you can change your start and finish times
  • Staggered hours – this is where you start and finish at different times to your colleagues

Citizens Advice has more information about flexible working.

 

Occupational Health

Sometimes your employer might refer you for an occupational health assessment. This will be with a medical professional.

Occupational health aims to keep you safe and healthy at work. They look at how your work might affect your health, and how your health affects your work.

They can give suggestions for reasonable adjustments and what to include in your risk assessment.

Looking for work

  • What type of work can I do?

    It depends on your skills, experience and how epilepsy affects your daily life. Most jobs should be open to you. Employers can only refuse you a job because of your epilepsy if they have very good reason.

    You could be refused a role because:

    • There are health and safety risks to you or somebody else. For example, a job that involves climbing ladders wouldn’t be safe if you’re still having seizures
    • You don’t have the right type of driving licence for the job. For example, you’re not legally allowed to drive heavy goods vehicles if you have epilepsy. Even if your seizures are controlled by medicine. You might be able to apply for this type of licence if you’ve been seizure free and not taken epilepsy medicines for 10 years
    • You apply for the Armed Forces. The Armed Forces aren’t covered by the equality laws. This means they can refuse to employ you because you have epilepsy or a history of epilepsy. The armed forces section below has more information

    Disability Confident Employers

    Look for the disability confident logo on adverts and application forms.

    The logo means the employer is committed to employing people with a disability. Normally, applying for a job with a disability confident employer means you will be guaranteed an interview if you meet the essential conditions for the job. It doesn’t mean you’ll automatically be hired. The recruitment process will be used to identify the best person for the role.

    You can find out more about the Disability Confident employer scheme on gov.uk.

  • Can I join the Armed Forces if I have epilepsy?

    The Armed Forces can refuse to employ you because you have epilepsy. They are not covered under the Equality Act.

    You would not be able to join the Armed Forces if:

    • You have had one or more seizures after your sixth birthday
    • You’ve had a single seizure in the last 5 years

    You may be able to join if:

    • You’ve had a provoked seizure. This is a seizure with a specific cause that is not likely to happen again
    • You have a history of childhood absence seizures which started before age 10, and you haven’t had seizures or treatment in the last 5 years
    • You have a confirmed diagnosis of typical benign rolandic epilepsy of childhood and haven’t had seizures or treatment in the last 5 years. This syndrome is now called childhood epilepsy with centro-temporal spikes

    A Single Service Occupational Physician will be responsible for the selection of recruits in your area. You can contact them for more information.

    What happens if I have a seizure while I’m in the Armed Forces?

    After a single seizure, you will be downgraded for 18 months and restricted on the work you can do. This is while investigations are carried out. If you have more than one seizure, you will be more restricted in the jobs you can do. You may be unfit for any trade in the Armed Forces.

    This information is from the Joint Service Manual of Medical Fitness, October 2022.

  • Can I be asked questions about my health before I’m offered a job?

    It would be classed as discrimination for an employer to ask about your health before offering you a job. They can only ask if they have a good reason. They might provide the opportunity for you to tell them about your epilepsy, but you don’t have to.

    They may ask so they can make reasonable adjustments for your job interview. For example, giving you extra time to do a test.

    An employer can only ask questions about your health in a job interview if it links to an essential part of the job. They could ask how your epilepsy could affect your ability to do that job safely. If your epilepsy would not affect your ability to do the job safely and effectively, you don’t need to mention it.

    You can choose to ignore questions about your health if you don’t think they’re relevant. This includes questions about your previous sickness absence. They also can’t refer you to or ask you to fill in a questionnaire from an occupational health adviser unless you agree.

  • Sources of help and support when looking for work

    Looking for a job can be stressful. But there are lots of organisations and websites that can support you and offer advice.

    Volunteering and other types of work experience are valuable to show your skills and experience. You can include this experience on your CV. Scope have advice on writing your CV.

    Epilepsy Action has lots of different volunteering opportunities. It’s a great way to develop new skills. Visit our volunteering page to learn more.

     

    Jobcentre Plus work coaches

    A work coach can help you in your search for work or to gain new skills. They can also tell you about disability-friendly employers in your area.

    Appointments with work coaches are available if you are already claiming benefits.

    For more information contact your JobcentrePlus online. If you live in Northern Ireland you can get help from your local Jobs and Benefits office.

    Jobcentre Plus work coaches can help you to access the support below.

     

    Intensive Personalised Employment Support

    This is one-to-one support and training to help you find work. You can apply for this in England and Wales.

    You may be able to get Intensive Personalised Employment Support if you:

    • Have a disability or long-term health condition
    • Live in England or Wales
    • Are of working age

    You can find out more or sign up by speaking to your Jobcentre Plus work coach.

     

    The Work and Health Programme

    If you live in England or Wales, the Work and Health Programme can help you find and keep a job if you’re out of work. You don’t have to be claiming benefits to apply.

     

    Work Clubs

    Anyone who’s unemployed can join a work club. Sometimes they are called job clubs. They’re run by local organisations like employers and community groups. They give you the chance to share knowledge, experience and job-hunting tips.

    The gov.uk website has more information and a few examples of work clubs in each region.

     

    Access to Work

    Access to Work can offer support if you are invited to an interview. This might include having a support worker to help you to travel to an interview.

    You can find out more or apply at gov.uk.

Group of 4 Epilepsy Action volunteers

Volunteer with us

Epilepsy Action has a range of exciting volunteer roles.

It’s a great opportunity to learn new skills and experience for your CV.

Visit our volunteering page

Keeping you safe at work

Do I need a seizure action plan for work?

It’s a good idea to make a seizure action plan with your employer if there’s a chance you might have a seizure at work. This can include what happens when you have a seizure and how people can help you during and afterwards.

Epilepsy Action have a seizure action plan template your employer can use.

The My epilepsy template may help you to think about what you want to tell your employer.

What is a health and safety risk assessment?

It’s an assessment your employer must do to make sure you can carry out your work safely. Some questions that might come up during your health and safety risk assessment are:

  • Are your seizures controlled?
  • How often do they happen?
  • What happens to you when you have a seizure?
  • Is there anything that makes your seizures more likely? For example, lack of sleep, tiredness, stress, hormonal changes, flashing lights
  • Do you need any specific care during or after a seizure?

Employers should have employers’ liability insurance. This means they are covered in case you become ill or injured because of your work. Employers must make sure they take steps to keep you safe in order to be covered by their insurance. A risk assessment is an example of how they can do this.

Epilepsy Action have a risk assessment template your employer can use.

Problems at work

  • What can I do if I feel I have been treated unfairly at work?

    Talk to people

    Talk to the people involved. They might be your colleagues, your line manager or your employer. You could tell them about our employment webpage. This will help them to understand epilepsy and provides tools to support you.

    You can also speak to your human resources (HR) department, if your work has one. Part of the HR department’s job is to look after your health and wellness. They can offer you advice and support. They can help you understand any policies your work has in place that might be relevant for you. For example, a grievance procedure or a wellbeing policy.

    ‘Raising a grievance’ is when you have a problem or complaint at work that you want to take up with your employer. This is a more formal process, and your employer should have a grievance procedure that they follow.

    If you’re a member of a union, you could ask them to be with you at any work meetings. If not, you could ask to bring a colleague or friend with you to meetings to discuss your work situation.

    Keep notes

    Keep notes of any actions or comments made that concern you. Also keep a note of how you’ve tried to sort the situation out. This can be useful if you decide to take more formal action later. This may be raising a grievance or getting legal advice.

    Know your rights

    Check your contract. In particular, the terms and conditions and the grievance procedure. Acas has information about grievance procedures and what you should expect from your employer.

    Your employer can only get information from your doctor with your consent. They should only ask for information that is relevant to your epilepsy.

  • How do I take legal action against someone who has treated me unfairly at work?

    Seek advice as soon as possible. There are strict time limits for bringing cases to Employment Tribunals and courts. Citizens Advice has information and guidance about taking legal action.

    Acas or your trade union can also offer advice. This applies to England, Scotland and Wales. In Northern Ireland you can contact Labour Relations Agency.

    If you are a member of a trade union, they may also support you at an Employment Tribunal.

    You can also take legal advice from a solicitor. It’s important to check from the start how much a solicitor will cost.

    There are different options for free or affordable legal help. These include:

    • Legal aid
    • Insurance cover that includes legal expenses
    • Advice charities
    • Help from your trade union
    • ‘No win, no fee’ schemes

    Citizens Advice has more information for EnglandWales and Scotland. Information about legal aid in Northern Ireland can be found on nidirect’s website.

  • I want to keep my job, but I'm having problems

    If you are having problems at work because of your epilepsy, here are some things you could do that might help:

    • Keep your employer up to date with any changes to your health that could affect your work
    • Make a note of your discussions and of any changes to your working conditions that are made as a result. This would be useful if your work situation became difficult and you needed to raise a grievance
    • If your epilepsy has changed, you could ask your employer to arrange a new risk assessment for you. You may be able to do a wider range of tasks if you are having fewer seizures
    • If you are off sick because of your epilepsy, keep them up to date with your situation

Epilepsy and Employment virtual support group

Epilepsy Action has online talk and support groups. It’s an opportunity to talk about employment with other people with epilepsy.

Employment talk and support group

Sick leave and sick pay

  • Am I entitled to sick leave and sick pay?

    Your contract should tell you how much money you will be paid if you are off sick, and how long sick pay can last. It should also explain any rules that apply. Ask your manager or HR about their sick pay policy if there is nothing in your contract.

    You can get statutory sick pay, or your employer may decide to pay you more. This is called company or contractual sick pay.

  • Statutory Sick Pay (SSP)

    If you are too unwell to work, you can be paid statutory sick pay for up to 28 weeks. You are eligible for statutory sick pay if you:

    • Are classed as an employee
    • Earn an average of at least £123 per week
    • Have been ill for more than 3 working days in a row

    You’ll need a fit note if you’re off work for more than 7 days in a row. You can get this from a healthcare professional.

    You can claim statutory sick pay for up to 28 weeks. After this, you might be able to claim Employment and Support Allowance (ESA).

    See gov.uk for more information about statutory sick pay how much money you can get.

  • Disability related absence

    You might be likely to have time off because of your epilepsy. Counting absences due to your epilepsy separately may be a reasonable adjustment. Or your employer might allow more absences before triggering an absence review.

    Having time off work to go to medical appointments could also be considered as a reasonable adjustment under the Equality Act.

    You should discuss this with your employer and check your employer’s absence policy. Your employer must make reasonable adjustments by law. But it is up to your employer to decide what is reasonable.

  • What if I’m unable to work long-term?

    Some people may find it difficult to work because of their epilepsy, or other health reasons. The impact of epilepsy is different for everyone.

    Our benefits page has more information about the help that’s available if you’re unable to work. You may be able to claim Employment and Support Allowance (ESA).

Useful organisations

This information has been produced under the terms of the PIF TICK. The PIF TICK is the UK-wide Quality Mark for Health Information. Please contact website@epilepsy.org.uk if you would like a reference list for this information.
Published: October 2024
Last modified: October 2024
To be reviewed: October 2027
Tracking: L050.09 (previously B135)
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