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Case law
Brightman v TIAA Ltd

Your employer cannot use medical evidence from after your dismissal to justify it.

The ruling

“A health-related dismissal must be judged on the medical evidence the employer had at the time, not on how the illness turned out later.”

An employer can only justify a health-related dismissal, or a refusal to make reasonable adjustments, using the medical evidence that existed at the time it made the decision.

  • Keep every medical report, occupational health assessment, and relevant email from before your dismissal date, so you can show exactly what your employer knew at the time.
  • If your employer introduces evidence at a tribunal hearing about how your health developed after your dismissal, challenge whether it has any bearing on the decision that was actually made.
  • Get advice quickly if you think your employer used outdated, incomplete, or after-the-fact medical evidence to justify dismissing you or refusing adjustments.
Read the full case

The situation

An employee had a long history of health conditions that led to repeated periods of sickness absence over several years. Her employer had previously managed this by having colleagues cover her work and keeping her away from time-pressured tasks, and she was recognised as disabled under the Equality Act 2010. A GP report in 2015 said she was fit for her role, though her conditions were likely to cause further absence, and an occupational health report the following year recommended that the employer continue to tolerate her sickness absence. By January 2017, when she was dismissed for capability, she had worked for three months without any absence, but her employer decided her attendance was unlikely to improve. She brought claims for unfair dismissal, disability discrimination, discrimination arising from disability, and failure to make reasonable adjustments.

What the tribunal found

At the original hearing, the employer introduced medical evidence that did not exist when the dismissal decision was made. This evidence showed the employee's health had not actually improved until a year later, in 2018. Although the tribunal had doubts about how complete the medical picture was at the time of dismissal, it used this later evidence to fill that gap and concluded the employer could not have been expected to wait any longer. On that basis it rejected her claims for discrimination arising from disability, under section 15 of the Equality Act 2010, and failure to make reasonable adjustments.

The Employment Appeal Tribunal held this was the wrong approach. Both the fairness of the dismissal and the reasonableness of any adjustments have to be measured against what the employer knew at the time, not against how the person's health happened to develop later. The tribunal's findings on those two claims were overturned and the case was sent back to a different tribunal to be reheard.

Full citation

Brightman v TIAA Ltd | UKEAT/0318/19/AT | Employment Appeal Tribunal | 2 July 2021

Last reviewed 4 July 2026