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Sick Notes

Continuation Sick notes

From April 2010, Fit Notes were introduced to replace the old Sick notes. Doctors will issue a Fit note for an individual to provide evidence of the advice they have given about the patients fitness to work. There are strict legal guidelines that doctors have to follow when issuing these notes and they are done at the discretion of the GP.  If the GP wishes to see you, you may need to make an appointment.

Please note, it is not possible for the GP to provide a fit note if you have not been seen in clinic. The only exception to this is where your incapacity begain in hospital and we have the appropriate documentation from them to support this.

About Fit Notes

  • You do not need to see the doctor for an illness lasting less than 7 days.
  • Hospital doctors provide certificates for patients who are currently in hospital.
  • If your employer insists, or you are part of a private pension insurance scheme, then the doctor can issue you with a private certificate and there will be a charge for this. See our Private Medical Services page for prices.
  • If your employer insists on a certificate for an illness of less than 7 days duration, please access this Letter to employer which you can print off to give to them.

Self Certificates

  • You do not normally need a doctor’s certificate for the first seven days of illness.
  • The Statutory Sick Pay Regulations state that employers are required to accept self-certification notes (completed by you) for the first seven days of illness. These are available from your employer or by completing and printing from the website.
  •  If you take up to seven days because you not well enough to attend work, then you must fill in a self-certificate.
  • You will require a doctor’s certificate for any period over seven days. This can be done over the phone and we may be able to issue a certificate without you needing to be seen.
  • If you have not seen a doctor before for the current problem, and it is not a continuing condition, it may be necessary for you to be seen in person by a doctor at the surgery. This can be arranged by telephoning the surgery.
  • Backdating Certificates.  It is possible for a sick note (fit note) to be backdated so you do not need to be seen urgently or on the day. This can only be done if either a)you have an ongoing problem which the GP has prior knowledge of or b) if the GP has evidence of your illness. This evidence may take the form of ongoing symptoms or notification of your illness from another service e.g. hospital, out of hours or NHS111. It is not possible for a GP to backdate a certificate for a new medical problem if no evidence of the illness exists. In such cases a private GP letter (for a charge) may be provided at the GPs discretion.
  • More information is available on the Website.


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