Reports show that since the pandemic there has been a sharp rise in cancer diagnoses in those under the age of 50[1]. The NHS states that 1 in 2 people will have cancer in their lifetime[2] and the dire impact cancer can have on health and quality of life is well known. With cancer more commonly affecting the workforce, what do employers need to be aware of in relation to their employment law obligations to cancer sufferers?
Disability discrimination
Under the Equality Act 2010 (“EqA”) individuals are protected from disability discrimination at work. This protection is afforded not just to employees, but also to workers and the self-employed.
Legislation defines disability as a physical or mental condition which has a “substantial and long-term adverse effect on the ability to carry out normal day-to-day activities”[3].
Individuals who suffer certain named conditions, including cancer, are protected from discrimination as soon as they are diagnosed, even if it the illness does not immediately have an impact on their ability to carry out day-to-day activities.
Disability discrimination can occur in any of the following situations:
- Direct discrimination: an individual is treated less favourably than others because of their cancer (section 13 EqA)
- Indirect discrimination: a provision, criterion or practice is in place which applies equally across the workforce, but which disadvantages individuals with cancer more and without any objective justification (section 19 EqA)
- Harassment: an individual suffering from cancer is treated in a way which makes them feel that their dignity has been violated, they are intimidated or humiliated, or their working environment is hostile, degrading or offensive (section 26 EqA)
- Victimisation: an individual with cancer is subjected to a detriment because they have complained, or intend to make a complaint, about disability discrimination (section 27 EqA)
- Discrimination arising from disability: an individual with cancer is treated unfavourably because of something arising from their diagnosis, for example, being penalised under an absence management policy because they are required to attend regular hospital appointments and without any objective justification (section 15 EqA)
- Failure to make reasonable adjustments: an employer fails to make reasonable adjustments to mitigate any substantial disadvantage a person with cancer may have as a consequence of their illness or its treatment (section 20 EqA)
The extent of protection for those with cancer
Regardless of the stage or severity of the diagnosis, once an individual has been diagnosed with cancer, they are protected from discrimination. The protection is wide ranging: In Lofty v Hamis[4], the EAT held that an employee diagnosed with a non-invasive, pre-cancerous form of melanoma was protected.
Tribunals take a holistic approach when determining the reason for the detrimental treatment. In Willis v NatWest Bank[5], the employment tribunal held that the decision not to renew Ms Willis’ secondment and the termination of her employment was due to her cancer, not redundancy as alleged. A key indicator was that the work she had been contracted to do still had to be carried out following the termination of her employment.
The protection applies to individuals throughout their employment, including during recruitment and probationary periods. In Lyddall v The Wooldridge Partnership[6], Ms Lyddall suffered from cancer during her probationary period. Her employment was terminated at the end of her probationary period, purportedly for performance reasons. This was said to be the case despite a lack of feedback regarding her performance. The Wooldridge Partnership argued that it had not provided negative feedback due to a desire to avoid causing stress to Ms Lyddall while she was undergoing treatment. The tribunal was not convinced by this argument and held that as Ms Lyddall’s cancer was a factor in her dismissal it was discriminatory.
Employers’ considerations in relation to employees with cancer
Employees are not required to disclose their health concerns or diagnoses to their employer. Employers cannot rely on employees’ failure to disclose a diagnosis as a defence to discrimination claims and employers will be liable for discrimination where the facts show they should have known about an employee’s disability. Therefore, employers must be prudent and pay close attention to individuals’ behaviours and routine changes, as these may indicate an ongoing medical condition which may constitute a disability under the EqA.
To ensure that individuals with cancer are not substantially disadvantaged, employers should seek to work collaboratively with their employees to understand any issues that may arise as a consequence of their illness and treatment. Employers should seek to identify any reasonable adjustments that might provide solutions to those concerns. Referrals to occupational health can be valuable as they can help both individuals and employers understand a treatment plan and any side effects the individual may experience. Occupational health reports can also be a helpful too in working out whether any particular issues are likely down to the employee’s illness, or whether they can be properly attributed to other issues, such as performance or conduct concerns.
Employers should also take proactive steps to ensure a work environment free from discrimination and harmful ‘banter’ relating to disability. Having comprehensive policies in place and providing training on equal opportunities can reduce the risk of discrimination. If an employer receives a complaint of discrimination, it should be properly investigated, and disciplinary action should be taken where necessary. It is important to remember that a one-off act is sufficient to constitute discrimination, and the perpetrator’s intention is irrelevant.
How we can help
If you have any questions about employers’ responsibilities and liabilities relating to disability discrimination, or if you need assistance regarding employee complaints, please contact a member of our Employment team.
[1] Cancer rates rising in under-50s – Cancer Research UK – Cancer News
[3] Definition of disability in section 6 of the Equality Act 2010 – GOV.UK
[4] Mrs C Lofty v Mr S Hamis t/a First Café: UKEAT/0177/17/JOJ – GOV.UK
[5] Ms A Willis v National Westminster Bank plc: 2205821/2020 – GOV.UK
[6] Mrs L Lyddall v The Wooldridge Partnership Ltd: 3314738/2021 – GOV.UK