GPs in England are set to cease issuing sick notes as part of a trial designed to keep people in work and reduce the UK's substantial benefits expenditure. Individuals seeking to be signed off work will be offered a range of personalised alternatives, which could include consultations with a job coach or therapy plans involving activities such as exercise or gardening, according to reports.
Rising Fit Notes and Economic Inactivity
Last year, over 11.2 million 'fit notes' were issued, an increase of nearly 300,000 compared to the previous year. This comes at a time when approximately 2.8 million people are economically inactive due to health reasons. The most common reasons for these notes include mental health complaints, such as depression, and back problems.
Pilot Schemes and Alternatives
Four pilot schemes will explore methods to retain people in employment or assist them in returning to work. Two of these schemes will divert patients away from GPs, instead involving occupational therapists and 'social prescribers'. The Financial Times reported that allies of Work and Pensions Secretary Pat McFadden view fit notes as a 'dead end'.
A report by Sir Charlie Mayfield, former chairman of John Lewis, released in November, warned that the UK is 'sliding into an avoidable crisis'. He advocated for reduced reliance on fit notes, noting that ill health among workers costs the country approximately 7% of GDP and UK employers around £85 billion annually.
Culture of Fear and Structural Challenges
The report highlighted a culture of fear among workers regarding ill health, a lack of effective or consistent support systems for employers and employees in managing health, and structural challenges faced by disabled individuals. Earlier this year, the government expanded the WorkWell programme across England, aiming to prevent people from being 'written off' due to sickness.
WorkWell Programme Details
Participants in the WorkWell scheme will receive physiotherapy for back pain and mobility issues, counselling and psychological support for mental health problems, while employers will be advised on accommodating health conditions in the workplace. Among those supported through the pilot programme, almost half (48%) reported mental illness as their primary barrier to employment, and six in ten (59%) were out of work at their first WorkWell appointment.
