Fit for work? Changing fit note practice among GPs

Fit for work? Changing fit note practice among GPs.

Assessing fitness for work and writing a "fit note".

Findings have been mainly observational and thus may be influenced in part by health related selection for work. Nevertheless, a “best evidence synthesis” based largely on a review of systematic reviews concluded that the overall weight of evidence pointed strongly to health benefits from employment. When treating patients of working age, doctors should therefore always consider the impact of t...

Has the fit note reduced general practice sickness certification rates?

BACKGROUND In 2010, the fit note replaced the sick note to help focus on what people are capable of doing, rather than signing patients 'off sick'. AIMS To compare proportions of work-related ill-health issued with sickness certification pre- and post-fit note introduction and assess sickness absence trends. METHODS General practitioners (GPs) report data on work-related ill-health and sick...

Changing Direction on Direction of Fit

In this paper, I show that we should understand the direction of fit of beliefs and desires in normative terms. After rehearsing a standard objection to Smith’s analysis of direction of fit, I raise a similar problem for Humberstone’s analysis. I go on to offer my own account, according to which the difference between beliefs and desires is determined by the normative relations such states stan...

Fit for purpose? Using the fit note with patients with chronic pain: a qualitative study.

BACKGROUND Staying in work may benefit patients with chronic pain, but can be difficult for GPs to negotiate with patients and their employers. The new fit note is designed to help this process, but little is known of how it is operating. AIM To explore GPs' views on the fit note, with particular reference to sickness certification for patients with chronic pain. DESIGN AND SETTING Qualita...