What is a fit note?
The Statement of Fitness for Work, commonly known as the ‘fit note’ or Med 3 form, was introduced in 2010. It's the medical statement used to advise patients about the impact of their health condition on fitness for work.
Fit note changes
From 1 July 2022, registered nurses, occupational therapists, pharmacists, and physiotherapists, alongside doctors, can certify and issue fit notes. This means you can get a fit note from the healthcare professional treating you, for instance, a physiotherapist, if it’s within their scope of practice.
A new version of the fit note was introduced in April 2022. The requirement for the healthcare professional to sign the form in ink has been removed and replaced by the issuer’s name and profession.
This lets healthcare professionals certify fit notes digitally, which means you can get a fit note through digital channels (where an IT system supports this).
For more information, take a look at government guidance on fit notes.
When do I need a fit note?
If you're unwell for seven days or less and need to take time off work, you don't need to give your employer medical evidence that you've been ill. Instead, you should self-certify sickness for this period. From the eighth day, if you're still ill then you may need to submit medical evidence in the form of a fit note to your employer.
You need to count all the days in a row that you’ve been sick, including non-working days such as weekends and bank holidays. This is the same if you're claiming Universal Credit.
How do I get a fit note?
You can ask for a fit note from the healthcare professional who is treating you. This could be during a consultation at your GP practice or a hospital. They'll assess whether your health condition impacts on your ability to work and whether a fit note is required.
Your healthcare professional may choose the “may be fit for work” option if they feel that you are able to do work with support from your employer, even if it's not your usual workload or job.
How healthcare professionals assess fitness for work
Your healthcare professional will assess your fitness for work by considering how your health condition affects what you can do at work. They will decide whether you are fit for work, ‘may be fit for work’ or are ‘not fit for work’.
Your healthcare professional will give you advice on the fit note about how your health affects what you can do at work. Make sure you discuss this with them and understand their advice, as they won't automatically assess that you're not fit for work. They will consider your fitness for work in general instead of just thinking about your current job.
If they decide that you ‘may be fit for work’, they'll give advice on any workplace adjustments that would help you stay in or return to work. The fit note form may be updated during the assessment with the options below:
- A phased return to work: a gradual increase in work duties or hours
- Altered hours: changes to the times or duration of work
- Amended duties: changing duties to take account of a condition
- Workplace adaptations: changing aspects of the workplace, such as working from home
This gives you and your employer the maximum flexibility to think about ways to help you stay or return to work.
You should discuss your fit note with your employer to see if they can help you stay or return to work and come to an agreement on what may be appropriate for you. We know most employers want to help their employees succeed in work and can often make changes to the workplace or job duties.
If your employer can't make or accommodate these changes, they'll need to arrange sick pay. Your healthcare professional might advise that you can't do any kind of work. If this is the case, then show the fit note to your employer to arrange your sick pay.
They can take a copy, but you should keep the original. It’s usually a good idea to keep in touch with your employer while you're off work, so you're ready when it’s time to go back.
You can get advice about sick pay from your trade union if you're part of one, or see information about sick pay.
What financial support am I entitled to if I’m sick and unable to work?
If you are classed as an employee and earn an average of at least £123 per week, you may be eligible to receive Statutory Sick Pay which is paid at £109.40 a week for up to 28 weeks, starting from the fourth day you’re off sick.
Statutory Sick Pay is paid by your employer in the same way as your normal wages, for example weekly or monthly. You’ll be paid for all the days you’re off sick that you normally would have worked, except for the first three days. You can check if you’re eligible for Statutory Sick Pay on the Government website.
If you’re self-employed you can apply for Universal Credit. How much you can get will depend on what stage your application is at, as well as things like your age and whether you’re able to get back to work at some point.