Health, Wellbeing and the Workplace - The Fit Note Replaces the Sick Note in the UK

Since 6th April 2010 employees in Britain who are off• Altered hours
sick for more than seven days will now receive 'fit• Amended duties
notes' (Statement of Fitness for Work) rather than the• Changes to the Workplace
sick note previously issued from a GP.This suggests that the 'fit note' and an employees
The idea of this new electronic 'fit note' was instigatedmedical situation will now be far more individualised
by Dame Carol Black, National Director for Health andwith the onus on employers to act on the information
Work and author of Working for a Healthiergiven in the 'fit note', occupational health specialists, and
Tomorrow 2008. In her report Dame Carol suggesteddoctors to work in agreement and more closely
that ill-health was the British economy was losingtogether for the good of the patient so enabling a
£100 billion per year claiming that sections of Britishquicker and more appropriate return to work. If
society had 'drifted into a benefits culture'.employers consider staff to be their most valuable
The 'fit note is to concentrate on what an employeeasset then the new 'fit note' may have a place in the
can do rather than what they can't do with theworld of employment.
emphasis on getting the employee back to work asFrom a health perspective the most common reasons
soon as possible under particular circumstancesfor staff to be signed off work according to my
agreed by the employer, doctor and employee. Damedoctor colleagues is from stress (this can be at work
Carol said she believed it is a fundamental cultural andand at home), bullying, an unsuitable office working
mental change that you are no longer labelled sick andenvironment and accidents in the workplace.
that we get rid of the sick note culture.Government ministers have said the training and
There is evidence to show that work is generally goodimplementation of the new 'fit note' will cost £10million
for your health and that often going back to work canover ten years and would support disabled people, or
actually aid a person's recovery. On the other hand,those who became ill, to return or to stay in work by
staying off work can lead to long-term absence andhelping them manage their condition and get help to
job loss with the risk of isolation, loss of confidence,keep their jobs.
mental health issues, de-skilling and social exclusion.What are your thoughts on the new 'fit note'? Do you
(Department for Work and Pensions)think it will work? Have you been off work for any
Doctors now have a choice to list whether thelength of time? Do you work with colleagues who take
employee would benefit from any of the following:considerable time off work at your expense? Let us
• A phased return to workknow what you think?