Good Day,

An employee has been injured on duty, all medical reports from doctors and specialists confirm that he has a left shoulder soft tissue injury.
The issue we are having is that he had a pre-existing condition, where he had injured his shoulder in a quad bike accident, and his got a prosthesis in his shoulder.

No orthopaedic surgeon will manage him due to the fact that it is a pre-existing condition and that he must be referred back to his surgeon who did the initial surgery. The surgeon who did his surgery cannot see to him due to him not accepting IoD.

According to the employee, he is unable to work due to the severity of the pain, and that is makes it difficult for him to drive to work or even be at work.
He holds a key position in the organisation as he is the general manager in a restaraunt.
He has been offered a light duty position in another restaraunt whereby he is overseeing the restaraunt and will not need to do any form of normal work until such time he is able to; he subsequently declined this offer, due to the distance he has to travel and that he cannot drive.

Neither the employee nor any doctors or specialists are able to tell us a way forward with his condition or when he is able to return to work.
At present we are in a limbo, as none of the reports are showing anything seriously wrong with him, and suggests that he continue with pain medication.

He has also not been booked off for a set period of time, every time he has been booked off for a few days, he will return to work on the day he needs to and will work a few hours and go back to a doctor to get booked off for more days thereafter.
It's periodic breaks, and no indication when he will be able to return back for normal duty.
He is receiving 75% of his salary for the three months that he is not at work.

The employee says that he needs his job, however, when we offer him a light duty position, he declines.
When he comes to work, he is unhappy and miserable, and makes the jobs of those who work under him difficult.

The impression he is giving off is that he says he wants to work, but does not want to.
Prior to his injury on duty, he has not been performing well, and has been disciplined on this. He is on a four month probation.

What would be a way forward for this employee?

Thanking you advance.