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Leave & Entitlements (NES-Aligned)

What is a Medical leave of absence?

Updated 27 Jan 2026 5 min read

A medical leave of absence in Australia refers to extended time off work due to a serious illness, injury, or medical condition. While the NES provides 10 days paid personal leave, employees may need additional unpaid leave for longer medical situations. Job protection depends on circumstances and length of absence.

Understanding medical leave of absence

A medical leave of absence goes beyond regular sick leave - it's an extended period away from work due to serious health conditions, surgery recovery, or ongoing treatment. In Australia, how this leave is handled depends on your employment status, accrued leave, and the nature of the medical condition.

NES entitlement

  • 10 days paid personal leave
  • Accumulates year to year
  • Pro-rata for part-time
  • Used first before unpaid

Job protection

  • Protected for up to 3 months
  • Unfair dismissal protections
  • Discrimination laws apply
  • Return to same role

Types of medical leave

When employees need extended medical leave, several options may apply:

Leave options for medical absence

Personal leave: 10 days paid (accumulating)
Annual leave: Can be used for illness
Unpaid leave: By agreement with employer
Workers' comp: If work-related injury

Job protection rights

  • 3-month protection: Cannot be dismissed for temporary illness absence
  • Discrimination protection: Cannot be dismissed due to disability
  • Unfair dismissal: Still applies during medical leave
  • Return rights: Entitled to return to same or similar position

Extended absences beyond 3 months

After 3 months of absence (or 3 months total in 12 months), the protections against dismissal for temporary absence no longer apply. However, employers must still consider disability discrimination laws and make reasonable adjustments where possible.

Return to work

Employee responsibilities

  • Keep employer informed of progress
  • Provide medical clearance to return
  • Discuss any restrictions or adjustments
  • Give reasonable notice of return date

Employer responsibilities

  • Hold position or provide similar role
  • Make reasonable adjustments if needed
  • Allow graduated return if appropriate
  • Maintain communication throughout

Common medical leave mistakes

Dismissing during protected period

Employees are protected from dismissal for temporary absence due to illness for up to 3 months. Dismissing within this period is generally unfair dismissal.

Not considering reasonable adjustments

Employers must consider reasonable adjustments to help employees return to work, such as modified duties, flexible hours, or phased returns.

Demanding excessive medical detail

While employers can request medical certificates, they cannot demand detailed diagnosis information. A certificate confirming unfitness and expected duration is sufficient.

Key takeaways

Medical leave of absence requires careful management to balance business needs with employee wellbeing and legal obligations. Understanding job protection periods and return-to-work requirements is essential.

RosterElf's leave management helps you track extended medical absences, plan for coverage, and manage the return-to-work process smoothly.

Frequently asked questions

RosterElf Team

Written by

RosterElf Team

The RosterElf team comprises workforce management specialists with deep expertise in Australian employment law, rostering best practices, and payroll compliance. Our team works directly with businesses across hospitality, healthcare, retail, and service industries to develop practical solutions for common workforce challenges.

General information only – not legal advice

This glossary article about medical leave of absence provides general information about Australian employment law and workplace practices. It does not constitute legal, HR, or professional advice and should not be relied on as a substitute for advice specific to your business, workforce, or circumstances.

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