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The intervention was acceptable but recruitment was lower than anticipated, and improvement is needed to the rate of early referral to occupational health before a full trial would be feasible.

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Vaughan Parsons 1,2, Dorota Juszczyk 1,2, Gill Gilworth 1,2, Georgia Ntani 3,4, Paul McCrone 5, Stephani Hatch 6, Robert Shannon 7, Max Henderson 8, David Coggon 3, Mariam Molokhia 9, Julia Smedley 10, Amanda Griffiths 11, Karen Walker-Bone 3,4, Ira Madan 1,2,*

1 Occupational Health Service, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
2 Faculty of Life Sciences & Medicine, King’s College London, London, UK
3 MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
4 National Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK
5 King’s Health Economics, King’s College London, London, UK
6 Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK
7 Faculty of Health Sciences, University of Southampton, Southampton, UK
8 Liaison Psychiatry, Leeds and York Partnership NHS Foundation Trust, Leeds, UK
9 Population Health Sciences, King’s College London, London, UK
10 University Hospital Southampton NHS Foundation Trust, Southampton, UK
11 Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK
* Corresponding author Email: Ira.Madan@kcl.ac.uk

Declared competing interests of authors: Ira Madan is a member of the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) Prioritisation Committee. Stephani Hatch reports grants from the NIHR, Wellcome Trust, ESRC and Guy’s and St. Thomas’ Charity outside the submitted work. Stephani Hatch is a member of the NHS England and NHS Improvement Mental Health Equalities Data Quality and Research Subgroup (2020 to present), the NHS England and NHS Improvement Patient and Carers Race Equalities Framework (PCREF) Steering Group (2020 to present), the NHS England and NHS Improvement Advancing Mental Health Equalities Taskforce (2020 to present), the Health Education England Mental Health Workforce Equalities Subgroup (2019 to present) and The Royal Foundation Mental Health Research Group (2020 to present). Max Henderson is a member of HTA Prioritisation Committee (2019 to present). David Coggon reports personal fees from NIHR during the conduct of the study.

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Response by Dr Vaughan Parsons on 26 May 2021 at 12:25 PM
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