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Healthneutral
Scheme to trial scrapping fit notes to get people back to work
TL;DR
A new pilot scheme in England will replace GP fit notes with support for patients to help them stay in work. The government aims to address the rising number of people unable to work due to health issues.
Key points
- Pilot scheme in England to replace GP fit notes
- Patients will receive support to stay in their jobs
- Current fit note system deemed ineffective
- Concerns about economic impact and NHS pressure
GP fit notes declaring people unable to work will be replaced with support to help them stay in their job, under a government pilot scheme.
GPs in two areas of England will refer patients for support alongside fit notes, while two others will stop issuing fit notes entirely.
The government said the current system was "broken", with too many people signed off work with no help for them to return.
The move is part of efforts to tackle the growing number of people who are out of work due to poor health.
There is concern about the impact this has on the economy, as well as contributing to increased benefit payments and pressure on the NHS.
More than 11 million fit notes are issued every year, with the numbers increasing since the Covid pandemic.
Fit notes are approved when someone is unwell or cannot work for more than seven days.
They advise on how the patients' health problems impact on their ability to work - and can help to access certain benefits and sick pay.
A patient can be declared "not fit for work" or "maybe fit for work" with some adjustments, but the government says more than nine-in-10 sign people off work entirely.
Earlier this year, hundreds of GPs told the BBC they had never refused to sign a patient off work for mental health issues.
Many also raised concerns that issuing fit notes should not be part of a GP's job.
The four pilot schemes, lasting up to a year, cover up to 100,000 appointments and are backed by £3m of funding.
They aim to test different approaches to find the best way of tackling the increase in fit notes.
In Birmingham and Solihull, as well as Coventry and Warwickshire, GPs will initially issue a fit note where needed but patients will also be referred to support services.
In Cornwall and the Isles of Scilly, along with Lancashire and South Cumbria, GPs will refer patients directly to support services, without issuing a fit note.
The pilots will test whether support should be led by healthcare professionals or non-clinical staff, such as work coaches and social prescribers, where community groups or activities are recommended to patients to improve their health.
They will also involve conversations with employers about adjustments to help people return to work.
The pilots will be delivered through existing NHS WorkWell sites, which connect patients with services such as physiotherapy and counselling.
It comes after a review earlier this year on how to get people back into work recommended a new approach to fit notes.
The review, led by former John Lewis chairman Sir Charlie Mayfield, found the system was "not working as intended", with most GPs lacking the training and time to assess someone's ability to work.
It also found fit notes were often a barrier to contact between employers and employees.
Q&A
What is the new pilot scheme regarding GP fit notes in England?
The pilot scheme will replace GP fit notes with support services to help patients remain in their jobs.
Why is the government implementing this pilot scheme?
The government believes the current fit note system is ineffective, contributing to a growing number of people out of work due to health issues.
Which areas in England will participate in the fit note pilot scheme?
Two areas will refer patients for support alongside fit notes, while two others will stop issuing fit notes entirely.
What are the potential economic impacts of the new fit note scheme?
The scheme aims to reduce the economic burden of increased benefit payments and pressure on the NHS caused by people unable to work due to health problems.
