In the medical field, there are various types of documents that serve crucial purposes. Two common documents that people often confuse with each other are medical letters and medical certificates.
An NHS sick note is an official document that confirms an individual is unfit for work due to illness or injury. Also known as a fit note or Statement of Fitness for Work, this note is issued by a GP or hospital doctor. If you need time off work, understanding how to request an NHS sick note and what it covers can ensure a smooth process. This guide explains everything you need to know about NHS sick notes in the UK.
An NHS sick note is a formal medical document that verifies an individual’s health condition and their inability to work. Employers often require this note if an employee is absent for more than seven consecutive days, including weekends and bank holidays.
The NHS provides sick notes free of charge for work-related absences exceeding seven days. However, private sick notes or those required for other purposes (such as travel insurance claims) may incur a fee.
You do not need an NHS sick note for the first seven days of your illness. Instead, you can self-certify by informing your employer. After seven consecutive days, your employer may request a sick note from a doctor as medical evidence of your illness or injury.
1. Book an Appointment with Your GP
The most common way to obtain an NHS sick note is by scheduling an appointment with your GP. You can do this by:
During your consultation, your doctor will assess your condition and determine if you need a sick note.
2. Request an NHS Sick Note Online
Many GP surgeries now offer digital services where patients can request an NHS sick note online. This can be done through:
If your GP approves the request, your sick note will be issued electronically or made available for collection.
3. Get a Sick Note from a Hospital
If you have been hospitalised or are receiving treatment at a hospital, a hospital doctor may provide an NHS sick note. In most cases, you can request one before discharge if you expect to need time off work.
4. Use NHS 111 for Advice
If you do not have access to a GP or cannot secure an appointment, the NHS 111 service can provide guidance on your next steps. However, they typically do not issue sick notes and may direct you to a GP or other NHS service.
An NHS sick note typically includes:
Your sick note will specify how long your GP or doctor recommends you remain off work. This can be:
Yes, GPs can issue NHS sick notes retrospectively if you were unwell but unable to request one at the time. However, they may ask for details about your illness before issuing the note.
A GP may refuse to issue an NHS sick note if they believe you are fit for work. If this happens, you can:
If you misplace your NHS sick note, you should:
GPs are not obligated to provide free duplicates, so there may be a small fee for reissuing a lost sick note.
Yes, NHS sick notes are legally valid and must be accepted by employers in the UK. Employers cannot refuse a sick note issued by a GP or hospital doctor.
An NHS sick note is an essential document for employees who need time off due to illness. Understanding how to request one, what it covers, and how long it lasts can help ensure a smooth process. Whether requesting a sick note through your GP, an NHS hospital, or online, following the correct procedures will help protect your employment rights while prioritising your health.
