Fit note

This series brings together all documents relating to the fit note (Statement of fitness for work).


  1. Documents

The fit note was introduced to replace the old sick note on 6 April 2010. Doctors issue fit notes to individuals to provide evidence of the advice the doctor has given about the individual’s fitness for work.

The fit note allows doctors to advise that individuals “may be fit for work” taking into account the doctor’s advice, or that they are “not fit for work”.

Doctors use fit notes to record details of the functional effects of their patient’s condition so that individuals and employers can consider ways to help the individual return to work.

Fit notes can be hand-written or computer-generated and printed out. Fit notes should be issued by hospital doctors if someone is receiving treatment in hospital, or otherwise by GPs.

Here you can read guidance we have issued guidance on the fit note for:

  • GPs
  • employers and line managers
  • hospital doctors
  • occupational health practitioners

If you’re a patient or employee, you can find out more about the fit note and taking sick leave on GOV.UK.

We’ve produced guidance about other health and work issues for: