Fit note basics
- People can self-certify for the first 7 days of sickness.
- In the first 6 months of a condition, a fit note can cover up to 3 months.
- Choose “may be fit for work” when adjustments could help a return.
- Options include a phased return, altered hours, amended duties and workplace adaptations.
Who can issue fit notes?
Doctors, nurses, pharmacists, occupational therapists and physiotherapists can certify fit notes. This tool drafts the wording; issue the fit note through your clinical system.
Frequently asked questions
How long can a fit note be for?
Up to 3 months in the first 6 months of a condition.
Do patients need a fit note for the first week?
No. They can self-certify for the first 7 days.
Who can sign a fit note?
Doctors, registered nurses, pharmacists, occupational therapists and physiotherapists.
References
- Department for Work and Pensions. Getting the most out of the fit note: guidance for healthcare professionals. gov.uk
MedToolbox supports, and does not replace, clinical judgement, national guidance and local policy.
