Fit note

Guidance for GPs, employers, hospital doctors and occupational health practitioners on using fit notes (statements of fitness for work).

Doctors issue fit notes to people to provide evidence of the advice they have given about their fitness for work. They record details of the functional effects of their patient’s condition so the patient and their employer can consider ways to help them return to work.

If you’re a patient or employee, read about taking sick leave.

More guidance about health and work issues is available for:

Fit note guidance

Published 1 March 2013
Last updated 27 April 2018 + show all updates
  1. The Fit for Work assessment service ended on 31 March 2018 in England and Wales.

  2. Changes to Fit for Work. The assessment service will be coming to an end on 31 March 2018 in England and Wales and 31 May 2018 in Scotland.

  3. From 15 December, changes are being made to Fit for Work. Currently, if an employee has been unfit for work for 4 weeks or more (or is likely to be), their GP or employer can refer them to [Fit for Work]( – a government occupational health service.

  4. First published.