New Change to Fit Note Procedure

by | Blog

The Department for Work and Pensions have introduced new rules to the fit note procedure. From 1st July 2022, pharmacists, nurses, occupational therapists, and physiotherapists can now legally certify fit notes. This was something that only doctors were able to do up until now.

 

The DWP have made these changes in an attempt to reduce pressure on doctors and to make it easier for staff to get advice certified by the most suitable health expert. This will also encourage better conversations about work and health.

 

Minister for Disabled People has supported the change by stating: “These latest fit note changes recognise the valuable role other professions play in helping manage people’s health, and I hope this will also help reduce unnecessary bureaucracy for doctors and general practice more widely.”

 

Although this change has been made to fit notes, there are still aspects that remain. Here are the key things to keep in mind:

 

Off Work Due to Sickness 7 days or less

If employees are off sick for 7 calendar days or less, they do not need to provide a fit note. They also don’t need any other medical evidence. This means they can ‘self-certify’ their sick leave.

 

Your employees are entitled to the amount of sick pay stated in their contract. Failure to pay this can lead to a tribunal.

 

Off Work due to sickness for More than 7 days

If you have an employee who is expected to be off sick for longer than 7 days, where possible they should try and get a fit note to you on the 7th day. Failure to provide a Fit Note for absences lasting longer than 7 days could result in the Employee being considered AWOL.

 

What a fit note should include

The health expert will either tick ‘is not fit for work’ or ‘might be fit for work’ in the fit note, depending on their evaluation of the employee.

 

If they tick ‘might be fit for work’ , the healthcare professional must then provide information on what level of work they think the employee can do. They may have come to the conclusion that the staff member is able to work in general, but with adjustments implemented to allow them to get back to work. These could include:.

  • Lighter duties
  • flexible working
  • phased return
  • different tasks to complete
  • changes to work patterns or work area

 

It’s important that you take adjustments in a fit note seriously. It may help your staff get back to work quicker. If there’s no way for you to offer these recommended changes, this should be discussed with your employee and if agreed cannot offer the adjustments then the fit note will change from ‘might be fit for work to ‘not fit for work’.

 

We recommend introducing an occupational health expert or employee assistance programme to help staff return to work as quickly and safely as possible.

 

You can find out more about the fit note changes on the government website now. If you would like our support with understanding a fit note procedure or helping an employee return to work, contact us now.

 

HR Consultant Salary or Outsourcing – Which Makes More Sense?

HR Consultant Salary or Outsourcing – Which Makes More Sense?

HR consultant salary is something many business owners start thinking about as their company grows and they need more reliable HR support. It might seem like hiring an in-house HR consultant is the obvious next step—but is it really the best option? With rising salary...

Outsourced HR Cost vs In-House: The More Cost-Effective Choice

Outsourced HR Cost vs In-House: The More Cost-Effective Choice

Outsourced HR cost is a major consideration for many businesses — and that’s never been more relevant than now. When it comes to managing HR in your business, cost is often a key factor. With rising wages, increased Employer National Insurance contributions, and...

HR for Startups: Building Your HR Function from Scratch

HR for Startups: Building Your HR Function from Scratch

HR for Startups is something we know inside out at The HR Booth. Over the years, we have helped hundreds of start-ups and growing SMEs build their HR functions from scratch. We get that launching a new business or scaling up an SME is exciting but also overwhelming,...

Do Employees Have The right to take Unpaid Leave?

Do Employees Have The right to take Unpaid Leave?

A question we've been asked a lot lately is whether employees are entitled to take unpaid leave. Guidance on paid leave such as sick leave and holiday entitlement is a lot clearer, which makes it a lot easier to understand compared to unpaid time off. From caring...

Supreme Court Gender Ruling: Key Points for Employers

Supreme Court Gender Ruling: Key Points for Employers

The Supreme Court gender ruling on 16 April 2025 stated that the legal definition of a woman is based on biological sex, and that the legal concept of sex is considered binary. This has led to many employers asking what this means for the workplace. In this post,...

Executive Coaching: The Key to Confident HR Management

Executive Coaching: The Key to Confident HR Management

Executive coaching is fast becoming one of the most valuable tools available to C-suite leaders—especially when it comes to HR management. Senior executives are under increasing pressure to deliver results, manage change and lead with purpose. HR challenges such as...