A fit note is an official document from a doctor or health professional. It tells your employer if you are fit for work, or if you need changes to your job while you recover from illness or injury. The fit note guide 2026 helps both employees and employers understand how to use this tool in the workplace.
In 2026, “fit note” is the formal term. Unlike the old sick note that only covered absence, a fit note can suggest ways you might stay at work or return with support. The fit note 2026 is more flexible and focuses on what you can do, not just your illness.
Fit notes can be issued by general practitioners (GPs), hospital doctors, and some specialist nurses or physiotherapists. In most cases, you need a consultation to get one.
You need a fit note if you are off work sick for more than seven days. Employers require fit notes for proof of sickness and to meet legal obligations. The fit note guide ensures everyone knows when and how to use them.
Since 2022, remote consultations by phone or video are common. Fit notes can be issued after digital assessments, making it easier to get a fit note if you cannot visit a clinic. Always use trusted NHS or official health services.
Discuss with your employer which format works best for your situation.
Your doctor might recommend adjustments (like working from home or avoiding heavy lifting). Employers should consider these but don’t have to follow them if not possible. Discussion between both sides is encouraged.
In 2026, remote and hybrid work is common. Fit notes can reflect the ability to work from home or change job tasks. Employers should be open to new ways to support recovery and productivity.