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As illustrated by Alice’s story, it is important to assess employees post-offer when they have significant medical conditions which might impact on work. Adjustments made at this time has the potential to prevent any adverse effect on their impairment and maximize their potential for work. Evidence has shown early intervention services are far more successful at maintaining employees being engaged, productive and well, than referrals to occupational health after the employee has been off work on sick leave for 4 weeks or more and it is likely to be even more effective if a preventive approach is taken.