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Epilepsy information: Employing people with epilepsy


The following information is produced by the Employment Commission of the International Bureau for Epilepsy (ibeec)

A common understanding about epilepsy

The majority of people with epilepsy require no special help to become economically active. However, sometimes epilepsy can present considerable problems in getting and keeping jobs due to misunderstandings about epilepsy and the implications it has in the work-place.

In setting out principles relating to employment, the IBE Employment Commission assumes a common understanding about epilepsy and its comprehensive management. This common understanding is that:

  1. Epilepsy is a physical condition of the brain and is the most common neurological disorder.
  2. Approximately 1 person in every 140 to 200 has a diagnosis of epilepsy, and around 1 in 20 will have a single seizure.
  3. Having epilepsy does not mean that the individual has seizures.
  4. In the majority of cases, seizures can be completely controlled with appropriate treatment.
  5. Seizures can take many forms. They can be very mild and even unnoticeable to an observer.
  6. The majority of seizures occur outside of working hours.
  7. Sickness absence and accidents at work are no more frequent in people with epilepsy than in other workers.
  8. Employees with epilepsy are usually eligible for the same insurance cover as other employees.
  9. Neither the diagnosis of epilepsy, nor the actual occurrence of seizures, should disqualify a person from paid employment.

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Four areas for good practice
  • health care
  • job suitability
  • recruitment and selection
  • assistance at work
Health care

When assessing an employee or job applicant, the employer needs to understand some of the basic facts about epilepsy and its possible impact on work performance.

Important points are:

  • If a seizure occurs at work, or the work performance is being affected by the medication, then an assessment by a physician, expert in epilepsy, should be considered. In most of these cases, improved seizure control can be achieved.
  • When a seizure occurs for the first time, there may be a detrimental effect on self-confidence and the person will require support and information about epilepsy.
  • If a major seizure occurs then someone should stay with the individual until they have recovered. However, there is nothing that can be done apart from making them comfortable.
  • In the majority of cases, even major seizures do not require medical help. Medical help should only be summoned if a seizure lasts longer than 5 minutes.
  • Information on epilepsy is available from your national or local epilepsy association.

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Job suitability

The vast majority of jobs are suitable for people with epilepsy.

Where a person with epilepsy possesses the right qualifications and experience, job suitability should normally be assumed. Implementation of the following policies should ensure that unnecessary restrictions are avoided.

  • Medical guidance should take into account the requirements of the job and the known facts about the individual's epilepsy and seizure pattern.
  • General prohibitions against people with epilepsy should be avoided, as this leads to restrictions on all people with epilepsy, regardless of their type of epilepsy or seizures.
  • Only where the risks cannot be reduced to acceptable levels are restrictions on people with epilepsy justified.
  • If job restrictions are needed, it should be clearly stated how they are to be implemented, reviewed, or lifted in terms of set time periods.

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Recruitment and selection

It is easy to discriminate against people with epilepsy unintentionally.

The following policies should ensure that recruitment and selection procedures are fair:

  • In job seeking, selection and employment, people with epilepsy should enjoy the same rights as other workers.
  • Work-related aptitudes and skills and a positive adjustment to epilepsy are essential factors in determining a person's employability.
  • Interviews should focus on the capabilities of the individual with epilepsy, and not on his or her real or assumed limitations.
  • When personal health information is required, it should be processed separately from the job application form and evaluated by a skilled person.
  • The employer should decide suitability for a particular job before any implications arising from the job applicant's epilepsy are considered.
  • If a medical opinion is sought for an applicant's suitability, the guidance given should be based on knowledge of the particular job and details of the individual's epilepsy.

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Assistance at work

All people with epilepsy should have equal opportunities to maximise their chances of employment.

  • When seizures occur for the first time in an employee, the employer should respond fairly by giving the employee adequate opportunity to receive proper medical treatment before making any decisions about job suitability.
  • If seizures are likely to occur at work, the employer should help the employee with epilepsy to disclose the epilepsy to work-mates.
  • Some first-aid training or other information should be provided for those that might be involved should a seizure occur.
  • If, despite proper medical attention, seizures continue to disrupt work, then appropriate redeployment, vocational guidance or re-training should be made available at this point.
Why a set of employment principles is needed

We have developed a set of principles in order to help employers make informed decisions concerning recruitment and job placement. The Principles will be useful to employers and all professionals concerned with the employment of persons with epilepsy.

Further information

International Bureau for Epilepsy website (opens new window)

NSE information on employment and employer's guide

Epilepsy awareness training for employers and employees is available from the NSE.
Information on NSE training services

UK Epilepsy Helpline: 01494 601400
Monday - Friday 10am - 4pm

April 2000

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Four areas for good practice

Health care

Job suitability

Recruitment and selection

Assistance at work

Why a set of employment principles is needed.

Further information


  NSE is the largest medical charity for epilepsy in the UK. We provide information and support to professionals and people affected by epilepsy. We also provide care for people with epilepsy through medical, residential and rehabilitation services.