Parkinson’s in the workplace: What you need to know
Parkinson’s disease is the fastest-growing neurological condition in the world, currently affecting over 145,000 people in the UK alone. As the condition becomes increasingly common, it’s more important than ever for employers to understand how to recognise the signs, support affected employees, and create inclusive working environments.
What is Parkinson’s disease?
Parkinson’s disease is a progressive neurological condition that occurs when nerve cells in the brain become damaged over time. These cells are responsible for producing dopamine – a chemical that helps control movement. When dopamine levels drop, it can result in a range of physical, cognitive and psychological symptoms that gradually affect daily life.
Key facts for HR and occupational health teams
- Parkinson’s affects around 1 in 500 people.
- It’s more commonly diagnosed in people over 50, but around 1 in 20 experience symptoms before the age of 40.
- Men are slightly more likely than women to develop the condition.
- Symptoms often begin subtly and can vary greatly between individuals.
- Although there’s no cure, a combination of treatments – including medication, physiotherapy and occupational therapy – can help manage the condition and support quality of life.
- Parkinson’s is covered by the Equality Act 2010, meaning reasonable adjustments may be needed in the workplace.
- An occupational health referral can provide tailored, expert guidance to support both the employee and the employer.
Understanding the condition
Parkinson’s is caused by the gradual loss of nerve cells in the brain’s substantia nigra, which leads to a decline in dopamine levels. Dopamine is key to coordinating movement – so when it decreases, it can result in:
- Involuntary shaking (tremors)
- Slowness of movement
- Muscle stiffness
Other symptoms may include:
- Depression and anxiety
- Difficulty with balance and coordination (increasing fall risk)
- Sleep problems
- Loss of sense of smell
- Cognitive changes (e.g. memory or thinking difficulties)
The exact cause isn’t fully understood, but it’s believed to involve a mix of genetic and environmental factors.
Diagnosis and treatment
People who are concerned about possible symptoms should first speak to their GP, who may refer them to a specialist for further assessment.
While there is currently no cure, many people manage their condition effectively with support from healthcare professionals. Treatment options include:
Medication
The main aim of medication is to increase dopamine or mimic its effect. Common types include:
- Levodopa
- Dopamine agonists
- MAO-B inhibitors
These can help reduce movement-related symptoms but may come with side effects and need to be tailored to each person.
Physiotherapy
A physiotherapist can help maintain flexibility, mobility and strength, supporting independence and reducing the risk of falls.
Occupational therapy
Occupational therapists support individuals in managing everyday tasks, from personal care to shopping, and may suggest adaptations to make tasks easier and safer.
Surgery
In some cases, deep brain stimulation may be considered. This involves implanting a device that sends electrical signals to specific areas of the brain, helping to manage symptoms when medication isn’t effective.
Parkinson’s in the workplace
As Parkinson’s progresses, it can affect an employee’s ability to carry out certain tasks. However, many people continue to work successfully for years with the right support and reasonable adjustments in place.
Practical workplace considerations
- Flexible working hours – Symptoms may vary during the day. Flexibility can help employees work during times they feel at their best.
- Workplace adjustments – Consider relocating desks nearer to hygiene facilities, providing larger keyboards, voice-recognition software, or ergonomic chairs.
- Remote working – May help manage fatigue, reduce commuting strain, and improve work-life balance.
- Role adaptation – Temporary or permanent changes to tasks can support continued engagement and productivity.
- Safety considerations – If tasks involve physical activity or safety-critical duties, a review may be required to ensure safety for all.
- Driving responsibilities – Parkinson’s must be declared to the DVLA. A licence may still be granted depending on medical reports, but this can impact work where driving is essential.
Supportive measures
- Encourage open conversations with your employee to understand their needs and preferences.
- Schedule regular reviews – Parkinson’s is a fluctuating condition, and support needs may change.
- Consider referrals to specialist services like Access to Work, which may fund adaptations, support workers, or transport solutions.
- Conduct a workplace stress risk assessment if needed.
- Keep equality legislation front of mind when applying sickness absence or performance policies.
Need a helping hand?
If you’re supporting an employee with Parkinson’s and unsure what steps to take, we’re here to help.
Our occupational health experts can provide tailored, independent advice to guide you through the right workplace adjustments – helping you create a safe, inclusive environment where your people can continue to thrive.
Get in touch with us today to find out how we can support you.
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