New Change to Fit Note Procedure

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.

 

Long Service Awards – Effective Ways to Reward your Employees

Long Service Awards – Effective Ways to Reward your Employees

Retaining employees long term is something worth celebrating. In today's competitive job market, keeping talented people engaged and committed to your organisation is becoming increasingly challenging. Long service awards, which are typically recognised at five-year...

How to Reduce Absence in the Workplace Before the World Cup

How to Reduce Absence in the Workplace Before the World Cup

With the FIFA World Cup kicking off on 11 June 2026, excitement is building across the UK. For Scotland fans in particular, the tournament brings an added challenge, with some matches taking place in the early hours of the morning due to the competition being hosted...

Care Home HR: HR Support Improving Care Standards

Care Home HR: HR Support Improving Care Standards

Providing outstanding care to residents requires more than excellent facilities and dedicated staff. Behind every successful care home is a strong people strategy, effective leadership, and robust HR processes. This case study highlights how our care home HR support...

Indeed Free Job Posting Visibility Cuts: Employer Solutions

Indeed Free Job Posting Visibility Cuts: Employer Solutions

Many employers have relied on Indeed free job posting visibility when advertising vacancies manually, through their website, or via a recruitment platform. For years, this gave businesses, particularly SMEs, an affordable way to reach candidates on one of the UK’s...

Supporting Employees with Rising Fuel Prices

Supporting Employees with Rising Fuel Prices

Rising fuel prices continue to put pressure on both employees and employers across the UK. Figures released earlier this week showed that the average price of petrol has increased by 26.6p per litre, the highest rise since the war in Ukraine began in February 2022....

Collective Redundancy Changes: Employers Guide

Collective Redundancy Changes: Employers Guide

Collective redundancy changes are now in force, adding to the growing list of employment law reforms introduced through the Employment Rights Bill. With further updates expected throughout 2026 and 2027, it is becoming increasingly important for employers to stay...