Although it sounds simple in principle, managed referrals are tricky on many different levels. A manager may not be sure what is troubling an employee and might be afraid to ask for fear of causing offence. The employee in question may appear to be completely unaware that they have a problem that is affecting others.
The problem may also be having a corrosive impact on other colleagues and on general team morale and performance. Whatever the circumstances, a managed referral requires care, sensitivity and courage.