Labor

Firing workers on sick leave and medical checks by the company: Foment del Treball's recipe against absenteeism

The employers' association also demands that companies stop paying Social Security contributions for employees who cannot work

29/09/2026 - 16:34 h.

BarcelonaAbsenteeism at work has become the main battleground for Catalan business owners, and Foment del Treball, the employers' association that brings together large Catalan companies, is proposing forceful measures to combat it. Among these, it highlights, on one hand, the implementation of mandatory medical check-ups and allowing companies to access certain medical information of their employees in case of sick leave, and, on the other, the possibility of dismissing workers who accumulate repeated or long-term sick leaves, a measure that was eliminated with the 2020 labor reform.

"Absenteeism is a global problem that is beginning to become unsustainable," said the president of Foment, Josep Sánchez Llibre, this Tuesday at the presentation of the White Paper on Absenteeism, with which the business entity puts forward different measures to reverse the situation. Sánchez Llibre has once again demanded that this issue "occupy a priority place" on the political agenda.

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Specifically, one of the main changes requested by the employers' association to combat absenteeism is the aforementioned return of objective dismissals. Foment asserts that they can be a "useful tool" for companies "in the event that the employee is absent from their workplace, regardless of the causes, on a certain number of occasions," excluding cases of disability. That is to say, this would allow a company to fire an employee for accumulating various sick leaves due to health reasons or other justified motives. It should be remembered that the option to objectively terminate the employment relationship for reasons linked to the worker's justified absence was abolished by the 2020 labor reform.

Another of the tools proposed by the employers' association is for private health mutuals to take on a more prominent role in cases of common contingencies. Although they currently already play a primary role in work accidents and occupational diseases, the entity believes they could help by assuming temporary incapacity processes for common contingencies.

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Furthermore, they also point out that improvements are needed in primary care to reduce, among other things, waiting lists for diagnostic and medical tests. The White Paper also says that it must "ensure that doctors have sufficient technical competencies for the corresponding analyses of the work capacities of employees on sick leave".

Among the proposals included in the publication—coordinated by the professor of labor and social security law at the University of Barcelona, Jordi García Viña—is also the desire to eliminate the need for employee consent to undergo medical examinations, "whether at the initial stages of the relationship or during it, as well as to regulate the possibility of conducting mandatory medical examinations when there may be medical reasons to do so." Changes are also proposed regarding the company's control of temporary disabilities: "the employer must have a certain knowledge of the employee's health status when they are on leave."

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This fact would currently clash with data protection law, which places significant obstacles on the access to citizens' medical information by companies, administrations, and third parties, including direct family members.

Cost sharing

As detailed in the report and explained by the Director of Labor Relations and Social Affairs of the employers' association, Yésika Aguilar, the costs of sick leave are "very high." Specifically, according to Foment's data, for companies this situation represented 16,115.84 million euros; and the total cost was 33,280.39 million. During 2019, the moment that Sánchez Llibre has set as the target scenario for a return, the leaves meant a cost of 8,228.06 million for companies and 16,646.82 in total.

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For this reason, the employers' association believes that the current system of direct payments by the company, which now goes from the fourth to the fifteenth day of leave, and the delegated payment system, which begins once the fifteenth day is exceeded, must be changed. "It is proposed that the employer stops assuming this cost and that this benefit be made through direct payment, whether by the managing entities or by the collaborating mutual insurance companies," the report states. In addition, as explained by Sánchez Llibre, it is also considered that it is necessary to "eliminate the obligation for companies to contribute during the leave period."

Regarding collective bargaining, Foment notes a "special relationship" between the "high rates of absenteeism" and the "temporary disability supplements negotiated in collective agreements." For this reason, the employers' association believes that a "mechanism for the elimination of supplements" must be established. Other proposals from the employers' association to reverse the current situation are to "recover values related to effort, commitment to work, and responsibility in the execution of the provision of services" or to "establish programs for recovery and progressive return to work."

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Feijóo also wants to give mutual insurance companies a greater role

Also regarding absenteeism, this Tuesday, the president of the Popular Party, Alberto Núñez Feijóo, explained his proposals to combat it at an event at the central headquarters of the employers' association Cecot, located in Terrassa. Among others, Feijóo has advocated for "increasing the staff of evaluating doctors, strengthening the role of mutual insurance companies, facilitating that mutual insurance companies carry out diagnostic tests, and that for certain pathologies, mutual insurance companies can grant medical discharges".

Likewise, the Popular leader has assured that they will protect "those people who are on sick leave due to serious illnesses", and that it is necessary to "ensure they receive 100% of their salary throughout their leave". "We must protect those who need it, and we must leave unprotected those who take advantage of the system", defended Feijóo, who added: "We must pursue fraud".