Department for Work and Pensions
More healthcare professionals can certify fit notes from today
Nurses, occupational therapists, pharmacists and physiotherapists can now certify and issue fit notes in addition to doctors.
- The change is set to support patients getting advice and fit notes from their healthcare professional – without having to separately see a doctor
- The reform follows fit notes going fully digital as they no longer need to be signed in ink.
From today (Friday 1 July 2022) nurses, occupational therapists, pharmacists and physiotherapists can all legally certify fit notes, reducing the pressure on NHS doctors, particularly GPs and scrapping unnecessary bureaucracy.
Updated guidance to health care professionals and their employers on these changes is also being published today, setting out how to support people to remain in work while managing a health condition.
This has been worked up and agreed with health professionals and DHSC to ensure these changes deliver benefits for both patients and clinicians. The existing guidance for employers and patients has also been updated.
This significant change recognises the importance of supporting people to remain in work, while managing a health condition by providing advice to an employer about how to support someone. By leveraging the expertise of a wider range of healthcare professionals, the change also streamlines the process.
The change, which applies across England, Scotland and Wales and is being mirrored in Northern Ireland, will support and empower better conversations about work and health between employers and staff by making it easier to get advice certified by the most relevant healthcare professional.
It will also improve a patient’s experience and reduce pressure on doctors, as people will no longer have to be sent to a doctor to have the fit note signed when seeing and receiving treatment from an alternative professional for their health condition.
The change is being delivered in GP surgeries, hospital and other NHS settings where healthcare professionals delivering NHS services will have access to the new fit note form.
Fit notes provide evidence to employers about a person’s absence and any relevant advice on how to support their employees to remain in or return to work. They also provide evidence for claims to benefits for those who are out of work.
Minister for Disabled People, Health and Work Chloe Smith MP said:
Having a health condition doesn’t have to take you out of a job. This change will make it easier for people and employers to get the advice they need so people can stay in work, whilst also reducing bureaucracy and freeing up doctors’ time.
Too often we see people being faced with unnecessary challenges to get a fit note. More professionals being able to offer this vital service will speed up the process and support people to return to or remain in work.
Health and Social Care Secretary Sajid Javid MP said:
Slashing unnecessary bureaucracy is key to ensuring more patients can see their GP quickly and get the care they need as we bust the Covid backlogs.
That’s why we have introduced these powers to ensure certifying fit notes can be carried out by other healthcare professionals - helping to relieve pressures on GPs so they can focus on patients and deliver an extra 50 million appointments a year by 2024.
Director of Practice and Development at Chartered Society of Physiotherapy Ashley James said:
Physiotherapists are already at the forefront of patient care but these new powers to certify fit notes will ensure a more efficient process to support patients’ return to work.
Physiotherapist expertise is often key in having health and work conversations and providing effective rehabilitation throughout the return to work journey. Getting treatment and support right can help patients remain in work and manage conditions effectively or return to work in a timely manner.
These new measures remove the need for a separate appointment with a GP. This can only be good news for patients as well as help to take some pressure off primary care services.
Chair of the Royal College of Occupational Therapists Specialist Section for Work Dr Jain Holmes said:
This new opportunity will mean more people can get expert advice from occupational therapists. The profession is keen to show how we identify work and health needs and then provide tailored advice for the people we see.
As Chair of the Royal College of Occupational Therapists Specialist Section for Work, we will be providing support to help the transition to this change which will benefit people’s everyday working lives.
The changes to the fit note deliver on commitments made last year to reduce ill health related job loss in the government’s Health is Everyone’s Business consultation response.
- Regulations were laid on 10 June 2022 to allow more healthcare professionals to certify fit notes in addition to doctors. These professions are nurses, occupational therapists, pharmacists, and physiotherapists. The changes came into effect on 1 July 2022.
- You can read the updated fit note guidance for healthcare professionals, employers and patients from 1 July 2022 on gov.uk.
- Fit notes can only be issued following an assessment of a person’s fitness for work.
- This follows legislation changes in April 2022 which removed the need for fit notes to be signed in ink. This change made it possible for eligible healthcare professionals to certify fit notes digitally and also for patients to receive their fit note via digital channels (where GP IT systems support this).
- Fit notes provide evidence of an absence of more than 7 days.
Contact Press Office
Media enquiries for this press release – 0115 965 8781
Telephone:0115 965 8781
Follow DWP on:
Latest News from
Department for Work and Pensions
Brand new pension scheme launches in Great Britain01/08/2022 13:10:00
The pensions sector has received an injection of innovation today as a brand new type of pension scheme officially opened for applications in Great Britain.
Nearly nine million grants from first round of Household Support Fund29/07/2022 13:10:00
More than 8.9 million grants have been given to families to help with post-pandemic pressures through a fund set up to help the most vulnerable, new figures reveal.
DWP launches consultation on DB funding rules26/07/2022 13:15:00
A new consultation on measures to boost protections for members of defined benefit (DB) pension schemes has been launched by DWP today (Tuesday 26 July).
7.2 million Cost of Living payments made to low-income families22/07/2022 13:10:00
Over 7.2 million payments of £326 have already been made to help households through the government’s Cost of Living support.
New taskforce to support pension scheme engagement with social factors in ESG investing15/07/2022 15:10:00
A new Minister-led taskforce will help pension schemes address the risks and seize the opportunities of the “social” element in ESG investing.
Minister calls on pension schemes to get “data ready” for dashboards15/07/2022 10:10:00
Minister for Pensions Guy Opperman has called on pension schemes of all types and sizes to make sure their data is ready for pensions dashboards.
7 in 10 young people in work 4 months after leaving government’s Kickstart Scheme15/07/2022 09:10:00
On Tuesday 12 July, senior Cabinet Ministers awarded young people and employers for their contribution to tackling high youth unemployment through the Kickstart Scheme, as the country recovered from the pandemic.
Mid-life MOT expansion to help tens of thousands assess work, wellbeing, and finances14/07/2022 14:15:00
Tens of thousands of Brits will be helped to take stock of their work, wellbeing and finances through a £5 million expansion of the DWP’s “Mid-life MOT” initiative.
One in four families get first government Cost of Living Payment from today14/07/2022 12:05:00
Almost one in four families across England, Wales, Scotland and Northern Ireland will get £326 sent directly to them from today, with the second instalment of £324 sent later this year as part of the government’s £37 billion support package.