Understanding Fit Notes
A Fit Note, officially called a Statement of Fitness for Work, is a document issued by a healthcare professional to confirm whether you're fit to work, or if adjustments are needed. Fit Notes are often required by employers after seven or more consecutive days of sickness absence, and they’re also used for benefits assessments, workplace planning, and occupational health management.
They play a crucial role in supporting employees and employers by providing medically grounded advice on returning to work safely.
What is a Fit Note?
A Fit Note outlines:
Whether the individual is not fit for work, or
May be fit for work with recommended adjustments (e.g., reduced hours, altered duties)
Issued by a registered healthcare provider, Fit Notes include the diagnosis, the expected duration of time off, and any advice to the employer about workplace accommodations. They are commonly needed during recovery from physical or mental health conditions.
Fit Notes can be used for both short-term and long-term absences and are recognised by employers, HR departments, and legal authorities.
What to Expect During a Fit Note Service
Before the Service:
You may be asked to provide details of your illness, injury, or symptoms
Previous medical records or consultation history may be reviewed if available
During the Service:
The clinician will assess your condition and its impact on your work capability
A discussion may include symptoms, job duties, and any limitations
The provider will decide if a Fit Note is appropriate, and what it should state
After the Service:
A Fit Note will be issued, either stating “not fit for work” or “may be fit with adjustments”
You’ll receive a digital or printed copy for your employer
Advice for return-to-work planning may be offered if applicable
Who Conducts This Service
Fit Notes are issued by:
GPs (General Practitioners)
Nurse Practitioners
Hospital Consultants
Specialist Health Professionals with authority to certify work absence
All providers accessed via My Health Assistant are fully licensed and regulated by medical authorities in the UK.
Who Might Need This Service
A Fit Note may be required by:
Employees off work due to illness or injury for more than 7 consecutive days
Individuals managing long-term or chronic conditions
Those recovering from surgery, hospitalisation, or mental health challenges
Workers undergoing workplace adjustments or phased return plans
People applying for Statutory Sick Pay (SSP) or disability benefits
Types of Fit Note Services
Fit Note services may include:
Initial Fit Note Assessment
Extension or Follow-Up Fit Notes
Fit Notes for Mental Health Conditions
Remote or Online Fit Note Consultations
Occupational Health Fit Note Reviews
Some services also offer employer communication support and return-to-work planning.
Risks Associated with Fit Notes
Fit Notes are a standard, low-risk service, but potential issues include:
Delays in issuing if accurate information isn’t provided
Inappropriate or invalid notes from unregulated providers
Misunderstanding of recommended adjustments by employers
To avoid these risks, always use a qualified, regulated professional—like those available via My Health Assistant.
How to Choose the Right Health Professional
When seeking a Fit Note service near you, look for:
A licensed healthcare provider (e.g., GP, registered nurse, or consultant)
Experience in assessing work-related conditions
Clear communication about what the Fit Note includes
Accessibility (remote appointments may be available)
Quick turnaround for documentation when needed
My Health Assistant helps you find trusted providers quickly, so you can get your Fit Note issued professionally and without delay.
Summary
A Fit Note is an essential document for confirming whether you're able to work or need medical leave. It supports communication between you, your healthcare provider, and your employer—ensuring your recovery is respected and workplace needs are met. With My Health Assistant, you can easily find a Fit Note service near you and receive reliable, medically informed support when you need it most.
