Fit for work referral
From now, all employers and GP's across England and Wales can refer employees who have been off work for four weeks or more for a free Fit for Work referral. Read our guide for employers for more information.
The Practice policy for the issue of Medical certificate/Sick notes/Fit note:
- First 5 working days and 2 non working days you do not require a medical certificate
- If, within 7 days, your employer insists on receiving a medical certificate and you GP concurs then there is a charge for this service.
- If more than 7 days non working a medical certificate will be issued free of charge with the aim to get you returned to work as soon as possible.
- You have to wait for a routine telephone appointment to be issued a medical certificate irrespective of what your employer may state. If your employer is unhappy they can directly contact the surgery. Please do not expect a sick note without an appointment being made. Medical certificates can be back dated if required.
Medical Certificate/Fit Note Guidelines
If you're off work sick for seven days or less, your employer should not ask for medical evidence that you've been ill.
If you're off work sick for more than seven days, your employer will usually ask you to provide proof that you've been ill. They will normally ask for a fit note from your GP. Fit notes may also be called medical statements, medical certificates, sick note or a doctor's note.
The seven days includes days that you don't normally work. When you work out how long you've been off sick, you should include weekends and bank holidays.
Sickness of seven days or less
Your employer can ask you to confirm that you've been ill. You can do this by filling in a form yourself when you return to work. This is called self-certification.
Self-certification forms usually include details such as:
- information about your sickness or illness
- the date your sickness started
- the date your sickness ended
These dates may be days that you don't normally work. For example, your sickness could start or end on a Saturday, Sunday or bank holiday.
Many employers have their own self-certification forms. If your employer doesn't have its own form, it may use an SC2 form from HM Revenue & Customs instead: Employee's Statement of Sickness (PDF, 53kb).
Sickness of more than seven days
If you're sick and off work for more than seven days, your employer will probably ask for proof of your illness. Most employers ask for a fit note from your GP.
However, this will also depend on your employer's company policy on sick leave (or sickness absence). This policy should tell you how many days you can be off sick before you need to provide proof of illness or a fit note.
Fit notes and how to get one
A fit note must be signed by a doctor, such as your GP. Your doctor will assess you, and if he or she decides that your health affects your fitness for work, they can issue a fit note and advise that:
- you are "not fit for work"
- you "may be fit for work taking into account the following advice"
For more information, including what "may be fit for work" means, see What are fit notes?
If you need a fit note, contact your GP surgery, who may advise you to make an appointment or book a telephone consultation.
If you're under the care of a hospital, your fit note may be issued by the hospital rather than your GP. If a hospital issues your fit note, it will always be a double-sided A5 handwritten fit note.
There is never a charge from an NHS doctor for providing a fit note if you're off sick from work for more than seven days.
Charges for fit notes
Some employers may request a fit note from employees who repeatedly take time off sick, for example, even if each time they're off work it's for seven days or fewer.
For sickness of seven days or fewer, we do charge to provide a fit note.
Read the answers to more questions about workplace health.