Call for evidence on reform of fit notes
The Department for Work and Pensions and the Department of Health and Social Care have issued a call for evidence to explore reforms to the fit note process in England, aiming to better support individuals with long-term health conditions in accessing work and health support. This initiative, open for feedback until 8 July, seeks insights on improving outcomes for those needing more extensive assistance beyond short-term illness recovery.
The government plans to develop and test a revamped fit note approach that integrates work and health support more effectively. Last year, the Chancellor allocated £24 million to launch "trailblazers" within integrated care systems (ICSs) across England, focusing on enhancing triage, signposting, and support for individuals on prolonged fit notes. The WorkWell services will provide a single entry point into local employment support, assisting individuals in managing health conditions and returning to work sooner. This aligns with broader government efforts to help disabled and health-affected individuals succeed in employment, including through Universal Support and the introduction of Employment Advisers in Musculoskeletal services.
Key components of the proposed process include a triage service directing individuals towards tailored health and employment pathways, job-related assessments, and discussions with healthcare professionals or work and health advisers. Stakeholders, including employers and individuals, are invited to comment on the existing fit note process and propose improvements, particularly on whether additional information in fit notes labelled as "may be fit for work" could aid employees' return to work after sickness absence.
The call for evidence also seeks input from clinicians and non-clinical professionals on enhancing the fit note process and improving information provided to patients and employers, highlighting the potential to better support individuals in maintaining employment through comprehensive reforms.