Has the fit note reduced general practice sickness certification rates?

Occupational Medicine
Louise HusseyRaymond Agius

Abstract

In 2010, the fit note replaced the sick note to help focus on what people are capable of doing, rather than signing patients 'off sick'. To compare proportions of work-related ill-health issued with sickness certification pre- and post-fit note introduction and assess sickness absence trends. General practitioners (GPs) report data on work-related ill-health and sickness absence via The Health and Occupation Research network in General Practice. The proportion of cases issued with sickness certification 4 years before and 3 years after the fit note introduction were compared. Changes in certification incidence rate ratios were measured over time. Participating GPs reported 5517 cases of work-related ill-health. Pre-fit note introduction 50% of cases were certified sick. There was no change in the proportion of cases certified sick in the first year post-fit note, despite 13% of cases classified as 'maybe fit'. However, in the second year, the proportion of cases certified sick had reduced significantly (41%) and a larger proportion (19%) was advised on workplace adjustments. In the third year post-introduction, there was a slight rise in the proportion of cases certified sick; therefore, although there was a fall of 2% per annu...Continue Reading

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Citations

Oct 11, 2015·Occupational Medicine·R KingE Roche
May 8, 2018·Occupational and Environmental Medicine·Sarah DorringtonMatthew Hotopf
Feb 3, 2021·European Journal of Cancer Care·Mirkka SödermanEmilie Friberg

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