On 1 July 2022, the Department for Work and Pensions (DWP) published Getting the most out of the fit note: guidance for healthcare professionals. The publication follows the expansion of the category of people who can sign fit notes for the purposes of SSP and social security claims and the earlier removal of the requirement for fit notes to be signed in ink. There will be a transitional period during which both the 2017 and 2022 versions of the fit note will be legally valid while relevant IT systems are updated and stocks of paper fit notes in hospitals are replaced.

 

The guidance is published alongside details on who can now issue fit notes and a training package on e-learning for healthcare. The resources are intended to be used together to support eligible healthcare professionals in ensuring they have the expertise and knowledge to certify and issue fit notes. The guidance reiterates that an assessment is about whether a patient is fit for work in general and not job-specific - something that is often misunderstood by employers and employees (and dare one say, GP's!). It also helpfully recognises that incomplete fit notes can make it difficult for employers to support a patient and cause delays to a patient's return to work - a fact the writer can very much confirm.  Indeed, seeing a Fit Note completed correctly has become an increasingly rare sight...

 

Information is now provided on the factors that should be considered when assessing fitness for work, as well as information on how to discuss a patient's beliefs about health and work if they are reluctant to return to work. In addition, there is information on how the free text section of the note should be completed, including the importance of giving practical advice to employers. In this section, it is noted that the only reference to a patient's current job should be in the context of possible workplace adaptations or if the job may be affecting their health. Towards the end of the guidance, there are several case studies and an FAQ section. The FAQ section highlights that a medical professional's advice is not binding on an employer, and it is for an employer to determine whether to accept the advice. The guidance for employers and employees has also been updated to reflect the expanded category of people who can sign fit notes.