The current rate of unemployment for individuals with enduring mental health difficulties has been a cause for debate in the current political world. Accessing psychological therapy and support is often vital to help individuals with overall quality of life. The complexity of accessing mental health support whilst in employment is not yet fully understood. This thesis aimed to determine the impact and experience of being in employment and having a mental health diagnosis or illness. Part one of this portfolio presents a reflexive thematic analysis of factors associated with accessing NHS mental health support whilst in employment. The findings suggested that perceived and experienced stigma, unpredictability and NHS structures often mean individuals face a choice of either accessing psychological help or going to work. Part two presents a policy review that investigated the current UK based policies aimed at employers and support for mental health in the workplace. The findings of the review suggested that policies are available with key recommendations for increased mental health awareness, embedded wellbeing practices and awareness of legislation. However, there is limited accountability to ensure these recommendations are followed.