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Whether voluntary or enforced, absence from work exacerbates the stress levels of the remaining staff, and can have a major impact on service delivery, financial viability and funding. Lawyers and management consultants report a marked increase in questions about absence. Drawing widely on the workshops run by the authors, this handbook is a resource for trustees and managers at alllevels of public and voluntary organizations who want to ensure quality of service to users and beneficiaries whilst maintaining good practice as employers.