Tel: 020 7274 4507
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FIT NOTES / MED3 CERTIFICATES
The following guidance is taken from the Department of Work and Pensions website https://www.gov.uk/government/organisations/department-for-work-pensions
General rules of the fit note
People can only be given a fit note if their doctor considers their fitness for work is impaired. If someone is fit for work, they will not be given a fit note.
Doctors cannot issue fit notes during the first seven calendar days of sickness absence. You can self-certify for this time there is a template form available at:
If your employer requires medical evidence for the first seven days of sickness absence, it is their responsibility to arrange and pay for this.
If you have received treatment in hospital and on your discharge you are unable to return to work, your hospital doctor should issue a fit note. You may also receive a yellow Med 10 form stating the time you spent as a hospital inpatient.
The fit note will say how long you will NOT be fit for work, and whether you can expect to return to work undertaking the same duties / hours as before you were unwell once it expires.
The period that the fit note covers
This will either be from the date of the assessment (Box 1), or between particular start and end dates. The dates are inclusive, (so a fit note dated from 2 April to 10 April will no longer apply from 11 April onwards).
IMPORTANT: You can go back to work at any time (including before the end of the fit note) without going back to see your doctor - even if they have indicated that they need to assess you again. This will not breach your Employers Liability Compulsory Insurance, providing they have undertaken a suitable risk assessmentif required.
You do not need to be signed back to work and there is no option on the fit note to do so. If your doctor assesses that you are fit for work, you will not be issued with a fit note.
You should return to work once the fit note expires or you will need a new fit note.
You can sign yourself off for the first 7 days. Your employer will have a form or you can can print this one off to claim statutory sick pay.
Medical Care when we are closed
Please do not ask to see a doctor out of hours unless you genuinely cannot wait until the surgery re-opens.
Emergency: Dial 999 or go to your nearest A&E Department. Chest pains and / or shortness of breath do constitute an emergency (you must not dial 999 for anything other than an emergency).
Out of Hours Service: If you phone the surgery when we are closed you will be automatically transferred to the out of hours service SELDOC (South East London Doctors on call). Alternatively you can phone SELDOC directly on: 020 8693 9066. You will be given advice, asked to visit the out of hours centre, or be visited by the doctor on call.
NHS Walk In Service: The local NHS walk-in centre also provides healthcare advice, information and treatment with no appointment necessary. The nearest walk-in centre is: The Junction Health Centre, Arches 5-8, Clapham Junction Station, 5-8 Grant Rd, London, SW11 2NU. Telephone: 0333 200 1718.
NHS 111 Service: In the case of urgent need when the practice is closed you can call NHS 111 to speak to a triage nurse. Your needs will be assessed and recieve advice or arrangements will made for you to see a doctor. Please refer to the website for further information www.nhs.uk/111
Non-emergency: Take a look at our "Get health information" page. Alternatively, call 111 for non-urgent medical advice.
Minor Injuries: We do not provide a minor injuries service. You should attend A&E or the local minor injuries unit at Guy's Hospital Urgent Care Centre.
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