Definition
A document issued by a doctor or other authorised healthcare professional that advises whether a patient is not fit for work or may be fit for work with adjustments. It replaced the old sick note in 2010 to focus on what employees can do rather than what they cannot.
UK Context
Fit notes are governed by the Social Security (Medical Evidence) and Statutory Sick Pay (Medical Evidence) (Amendment) Regulations 2010. From July 2022, nurses, occupational therapists, pharmacists, and physiotherapists can also issue fit notes. Employers are not obliged to provide the adjustments suggested.
Best Practices
- Review fit note recommendations carefully and consider what adjustments could be made to facilitate a return to work
- Discuss the fit note with the employee to understand their situation and explore options
- Keep fit notes on file as part of absence records but treat them as confidential medical information
Frequently Asked Questions
When is a fit note required?
Employees are expected to self-certify for the first seven calendar days of sickness absence. From the eighth day, they need a fit note from a doctor or authorised healthcare professional.
Does an employer have to follow a fit note's recommendations?
No, the fit note is advisory. If the employer cannot accommodate the recommended adjustments, they can treat the employee as not fit for work. However, they should consider reasonable adjustments, especially for disabled employees under the Equality Act 2010.