Med3 Fit Notes (Sick notes)

Posted by: philheiden - Posted on:

Covid-19 and requests for Med3 (‘Fit Notes’)

Dear Patient, 

In the majority of cases, you do not need to ask your GP for a fit note or ‘sick note’ for periods of absence due to coronavirus (Covid-19).

The NHS website below explains that employees do not need to ask their GP for a fit note if they are off work because of Covid-19. Instead, they can get an isolation note to send to their employer as proof they need to stay at home.

www.gov.uk/get-coronavirus-test

If you have any of the Covid-19 symptoms listed below, current NHS advice is to get a test and stay at home.

  • A high temperature
  • A new, continuous cough
  • A loss of, or change to, your sense of smell or taste


This is taken directly from the national guidance in relation to Covid-19 only:

www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/when-to-self-isolate-and-what-to-do/

Employers may require fit notes for non-Covid-19 health conditions. NHS England has asked that employers exercise discretion in asking for medical evidence to support periods of sickness absence at this time.GP practices will continue to ensure that the healthcare needs of their patients are at the forefront of their efforts during this period.

Guidance on specific circumstances

You might find it helpful to give this letter to your employer to help them to determine the right course of action for you.

IssueAdviceOutcome
1. You have symptoms or have tested positive for Covid-19 and must self-isolate for at least 10 days
N. B – You will usually need to self-isolate for 14 days if: someone you live with has symptoms or tested positive someone in your support bubble has symptoms or tested positive you have been told to self-isolate by NHS Test and Trace
Seek clinical guidance 111.nhs.uk/covid-19
Follow advice www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/when-to-self-isolate-and-what-to-do/
www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/how-long-to-self-isolate/   www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/get-a-test-to-check-if-you-have-coronavirus/
You do not need to prove a ‘fit note’ to your employer.  Use isolation note 111.nhs.uk/isolation-note/
2. Someone you live with has symptoms of Covid-19 or has tested positive and must self-isolate for 14 days.Seek clinical guidance 111.nhs.uk/covid-19
Follow advice www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/how-long-to-self-isolate/  
You do not need to prove a ‘fit note’ to your employer.  Use isolation note 111.nhs.uk/isolation-note/
3. Someone in your support bubble has symptoms of Covid-19 or has tested positive. Must follow advice and self-isolate for 14 days if both guidance criteria apply.    Seek clinical guidance: 111.nhs.uk/covid-19
Follow advice www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/how-long-to-self-isolate/
You do not need to prove a ‘fit note’ to your employer.  Use isolation note 111.nhs.uk/isolation-note/
4. You have been contacted by NHS Test and Trace or the NHS Covid-19 App and must self-isolate for 14 days.Seek clinical guidance: 111.nhs.uk/covid-19
Follow advice: www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/how-long-to-self-isolate/  
You do not need to prove a ‘fit note’ to your employer.  Use isolation note 111.nhs.uk/isolation-note/
5. You have symptoms/have tested positive for Covid-19 and continue to be unwell with Covid-19 symptoms after the 14-day isolation period.

Seek clinical guidance: 111.nhs.uk/covid-19
Follow advice: https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/how-long-to-self-isolate/
You do not need to prove a ‘fit note’ to your employer.  Request extension to isolation note or further isolation note 111.nhs.uk/isolation-note/
6. You have previously tested positive for Covid-19. You have isolated and no longer have symptoms of Covid-19 but remain unwell and feel you are unfit to work. 

Seek clinical guidance: 111.nhs.uk/covid-19

Follow guidance: www.nhs.uk/common-health-questions/caring-carers-and-long-term-conditions/can-i-get-a-fit-note-without-seeing-my-gp/   www.nhs.uk/common-health-questions/caring-carers-and-long-term-conditions/when-do-i-need-a-fit-note/  
In the first instance, liaise with your employer to determine whether a fit note is required. If so, contact your GP for a ‘fit note’. Employers may require fit notes for non-Covid-19 health conditions if you are unfit for work.

If you have been in hospital, a hospital doctor can give you a fit note, as well as a certificate that you have been an inpatient.
7. You are “high-risk” from Covid-19 (clinically extremely vulnerable)    Follow guidance: www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/advice-for-people-at-high-risk/   www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19You should receive a letter from the UK Government to provide to your employer. You do not need to prove a ‘fit note’ to your employer.  
8. You live with someone who is identified as “high risk” from Covid-19 (clinically extremely vulnerable)  Follow guidance: www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/advice-for-people-at-high-risk/   www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19You do not need to prove a ‘fit note’ to your employer. 

Further information is available here:

I am grateful for your co-operation in this matter.

If you still need to request a fit note during this time please do so by using our eConsult request https://adelaidemedicalcentre.webgp.com/react-consult-administrative-help?codeName=GEC_ADM#EC