Debate & analysis fit for work? Changing fit note practice among GPs

Abstract

The introduction of the fit note has been broadly welcomed by GPs and employers as a way of supporting the return to work and job retention of individuals who experience health problems. During the early stages of its implementation, we would expect somedifficulties, uncertainties, and a wide variation in the use of the fit note. In the meantime, supporting both GPs and employers in using the fit note effectively must be a priority. Additional support may be effectively provided through local employment retention and rehabilitation services, such as 'fit for work' services and IAPT employment advisers. Ensuring that GPs, employers, and patients are aware of these services and able to refer to them would further promote job retention and return to work. The introduction of the e-fit note, the involvement of other health professionals in the fit note process, and improved awareness in patients of the fit note will contribute to a more rapid change in practice. Further debate and discussion about who should be able to sign fit notes and how the use of fit notes is monitored should be encouraged. ©British Journal of General Practice.