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New ‘fit note’ unveiled - government gets rid of ‘sick note’ culture - DWP Consultation

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John
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 You can take part in the consultation by clicking here.

"A new medical ‘fit note’ to replace the current ‘sick note’ and help more people stay in work rather than drift into long term sickness is unveiled today along with a twelve week consultation on its design. 

 

The new ‘fit note’ will enable people to get the best possible advice about staying in work, and if they can’t work what their employer can do to help them return to work sooner.  For example, if the employee has a problem with mobility, suggesting a job where they can work sitting down rather than standing up.

 

Lord Bill McKenzie, Work and Pensions Minister, said:

“Employers tell us that managing sickness absence can be a challenge. This is compounded by a ‘sick note’ system that makes sickness absence a black and white issue – either you are unfit for work or you are not.

“We recognise how important it is to help people who are sick to stay in work or get back to work quickly - the new fit note will help do just that.”

Health Minister Ben Bradshaw said:

“We know that sickness absence is economically and socially damaging and makes people more likely to drift into social exclusion and poverty. Getting people back into work quicker is good for their health as well as the country’s finances.  

“The fit note will give GPs a new opportunity to benefit their patients and I look forward to it being used in surgeries everywhere.”

Developed with the support of healthcare professionals, employer representatives and trade unions, the new ‘fit notes’ will roll-out across Great Britain in the Spring of 2010. 

Our goal is that under the new system ‘fit notes’ will be computer-generated in GPs surgeries, replacing the current hand written version.

The introduction of the ‘fit note’ forms part of the Government’s response to Dame Carol Black’s groundbreaking report into the health of Britain’s working age population, which was published in March 2008."

John
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Last seen: 1 day 31 min ago
Joined: 09/03/2008
Changing from "sick note" to "Fit note" DWP Consultation.

 Reading through this I note in The Social Security (Medical Evidence) and Statutory Sick Pay (Medical Evidence) (Amendment) Regulations 2010 provided in the supporting documents mentions in part 9 of "Schedule 1 Regulation 2(1) Part 1 Rules" the following

9. The condition may be specified less precisely where, in the doctor's opinion, disclosure of the precise condition would be prejudicial to the patient's well-being, or to the patient's position with their employer.

This doesn't represent a change from the original legislation that the 2010 proposed Statutory Instrument is looking to replace.

It may also put patient against GP in some circumstances.  I am concerned and will need to research how this would act with the "Access to Medical Records Act" and the disclosure framework therein.  Some doctors are of the opinion that HIV is just another illness, and it is, but may not consider the effects fully of disclosure.  I have not seen the Doctors Guidance that will be issued but I would like to have seen a little more protection for those with heavily stigmatising conditions that protected the "patient-doctor" relationship and encouraged more trust between those with HIV and primary care.

Also what if the doctor you see is a 'locum' or not your usual doctor who would have the personal relationship to be able to make a judgement here.

 

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