Key facts (2026): For the first 7 days of sickness absence in the UK, you self-certify using your employer's form (or SC2 if self-employed). After 7 days, you need a fit note (previously called a sick note) from a GP or other authorised healthcare professional. Fit notes can now also be issued by nurses, occupational therapists, pharmacists, and physiotherapists.
The fit note system was reformed in 2022 to allow a wider range of healthcare professionals to issue them, reducing the pressure on GPs. Understanding when you need one, how to get one quickly, and your rights around sick pay is important for anyone facing a period of illness.
Self-Certification — The First 7 Days
You can self-certify for up to 7 consecutive days of sickness (including weekends). Most employers have their own self-certification form. If you are self-employed, form SC2 is available from HMRC. You do not need a GP appointment or medical evidence for the first 7 days — your own statement is sufficient. Some employers allow more than 7 days of self-certification — check your employment contract.
Getting a Fit Note After 7 Days
After 7 days of sickness, contact your GP surgery for a fit note. Since 2022, nurses, occupational therapists, physiotherapists, and pharmacists can also issue fit notes. Many GP surgeries issue fit notes via phone or online consultation without needing a face-to-face appointment — ask about this to avoid unnecessary surgery visits. A fit note can state you are 'not fit for work' or 'may be fit for work' with suggested adjustments.
Fit Notes and Sick Pay
Having a fit note does not automatically entitle you to pay beyond Statutory Sick Pay (SSP). Your employer may have a more generous contractual sick pay policy — check your employment contract. If you are off long-term, HMRC and your employer use the fit note to assess SSP entitlement. After 28 weeks, SSP ends and you may need to claim Universal Credit or ESA.
Our Verdict
Get your fit note request in early — GP appointment availability varies significantly and a delay in obtaining a fit note can complicate your sick pay arrangements with your employer. Since the 2022 reforms, you can often get a fit note from a nurse or pharmacist more quickly than a GP appointment. Request it by phone or online wherever possible to save time.
Frequently Asked Questions
How do I get a sick note UK?
Self-certify for the first 7 days. After that, request a fit note from your GP surgery, or since 2022, from a nurse, pharmacist, occupational therapist, or physiotherapist.
How long does a sick note last?
A fit note can cover any period the healthcare professional deems appropriate — typically 1–4 weeks initially, extending for longer-term illness.
Do I need a fit note from a GP specifically?
No — since 2022, nurses, occupational therapists, physiotherapists, and pharmacists can all issue fit notes, making them more accessible.
Disclaimer: For informational purposes only. Verify with gov.uk or qualified professionals before making decisions.
Last updated: April 2026 · Author: Chandraketu Tripathi
