Fit Notes



You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.

Evidence that you are sick

If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).

It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.

You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.

To request a sick note from us, please complete a Patch or call reception on 0151 427 6239

Statement of Fitness for Work - ’Fit Note'

The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.

For more information see the DirectGov website (where this information was sourced)

School Children

Please note that GPs do not have a statutory duty to provide informal sick notes for children. Your relationship with the school should be such that any concerns over a child’s absence can be resolved without the need for you or the school to ask your GP to provide any supporting evidence.

Relating to school attendance:

The school may ask you to provide a written note explaining your child’s absence from school. In most cases, this should be sufficient evidence for the school to authorise the absence. In some cases the school may request supportive evidence. In these cases, schools nationally have been asked to accept a prescription or an appointment card as evidence rather than a GP letter.

Occasionally, a school may feel that further evidence is required. Before our surgery is engaged, there is an expectation that you and the school will meet face to face beforehand in order to discuss and hopefully resolve the concern without the need for the surgery to be involved.

Evidence available from the surgery, following your meeting with the school, is as follows:

The school may ask you to provide a GP letter, detailing your child’s illness and the likely duration your child will be absent from school. A GP appointment is not required in order for you to request such a letter. To request a letter, please complete a Patch between 8am and 12pm, Monday to Friday. 

Please note these GP letters relating to school absence cannot be provided free of charge on the NHS. Agreement must be met at the meeting between you and the school prior to these requests as to who will meet the costs of this GP letter.