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Pharmacists, nurses and physios to ease GP fit note burden from next month


By Emma Wilkinson
9 June 2022

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A wider range of health professionals will be able to sign off fit notes from next month to ease pressure on GPs.

New legislation being laid down tomorrow will enable nurses, occupational therapists, pharmacists, and physiotherapists to legally certify fit notes, the Department for Work and Pensions has confirmed to Pulse.

It is the biggest change to the rules around fit notes since they were introduced in 2010 and part of a planned overhaul of reforms that has included scrapping ink only signatures and providing more ‘interactive’ advice on workplace adaptations and support.

The change in law, which will apply across England, Scotland and Wales from 1 July follows moves in April to allow for fit notes to be certified and issued digitally.

In a bulletin, the BMA, who has long been in favour of a wider variety of healthcare professionals being able to sign fit notes, said not everybody working within these professions should issue them but should be ‘working in a suitable environment and have the necessary skills and training to have work and health conversations with patients’.

Issuing fit notes also needs to be within their professional ‘scope of practice’, the BMA said, and that new guidance and training had been developed to advise on this.

The changes follow a consultation last summer about reducing ill-health related job loss to which many respondents expressed views on the current fit note system despite it not being part of the original scope of the consultation.

Outlining its plans at the time, the Government said it would also move to embed electronic fit notes in hospital systems to encourage hospital doctors to issue them reducing the burden on GPs.

Maria Caulfield, minister for patient safety and primary care said that improving access to GP services and reducing unnecessary bureaucracy was ‘vitally important as we tackle the Covid backlog’.

‘Extending powers to provide fit notes to other healthcare professions will relieve further pressures on GPs and is another step towards helping to deliver an extra 50 million appointments in general practice a year by 2024.’

Chloe Smith, minister for disabled people, health and work said the changes would make it easier for patients to get the support and advice they need from the right place, ensuring where possible that they are able to remain in work.

‘These latest fit note changes recognise the valuable role other professions play in helping manage people’s health and I hope this will also help reduce unnecessary bureaucracy for doctors and general practice more widely.’

‘This is just another way in which we’re supporting GPs in primary care, and we remain on track to deliver 26,000 more primary care staff by 2024 to help improve patient access to appointments.’

This article first appeared on our sister title, Pulse.

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