Le note di malattia “eliminate” nell’ambito dei piani per ridurre i richiedenti benefici

Skeptical but the current system is broken, Dr’s just sign you off work by default without really doing any follow ups.

For anyone who cannot be bothered to read the article, they are piloting a couple of GP surgeries in the country to stop issuing fit notes with a new support programme, and piloting other GP surgeries issuing initial fit notes and using additional support. It’s not a current national policy.

So it’s not that they’re being scrapped, it’s that the government has launched trials on alternates they may choose to replace the current system with. Being aimed more at support than just ‘can’t work’.

Which could be good or bad, depending on the support offered and if those genuinely unable to work for a limited time are pressured back or the support system takes that into account and better regulates a phased return to work once they’re able to do so.

So the plan is nobody can be sick if we don’t give them sick notes, that sounds like it’s going to work. What it will lead to is an awful lot more people claiming universal credit because they’ve been sacked for being off work with out a sick note.

Fit notes by any measure are broken, doctors just sign them to avoid being hassled or threatened by patients. They’re a waste of doctor’s time and don’t separate real illness from malingering.

Sensible people can disagree on what we should replace them with to create a fair system, but the current system of tickbox fit notes is no better than self-certification.

if they put half the effort they do into these schemes to “get people back to work” into collecting corporate taxes and plugging avoidance loopholes we’d wipe out the national debt in a few years.

This doesn’t seem to account at all for people who have “normal” sickness. Aka sick but will get better soon and don’t need to be hassled into work?! I had cancer and got a fit note for my op and then chemo. I went back to work in between treatments and then finally went back part time after it was all finished. I really don’t understand how referring me to some service would have done anything except make a very stressful situation worse??

I know it’s only surface level reporting but I genuinely don’t understand how this will work. For some areas, they won’t get a ‘fit note’ at all – so does that mean no official sick leave for that person, regardless of how unwell they are?

I also don’t know what any of those referrals are going to do for people with chronic or serious illnesses. I was off for 5 months last year with an ME crash, I spent the vast majority of it confined to bed unable to function. My own GP said it was too complex for them to help me, and all they could do was provide sick notes for as long as I needed. Equally my husband has severe autoimmune disease and MS, sometimes he just needs to be off work due to flare ups. Clinical staff can’t help us, let alone non-clinical… it’d be another waiting list and waste of everyone’s time, surely?!

Am I misunderstanding the article or what? Say you have an operation and you are told you need to rest for 6 weeks, how does this work without a fit note? 

Is there information missing from the article? There’s a statistic about 11 million fit notes being handed out every year, but people can get multiple fit notes for one condition if recovery isn’t as quick as expected. Is each note a separate note for stats purposes? Cancer is probably the best example, people still need a fit note to take sick leave for cancer treatment even if it seems obvious. Chemotherapy etc can come with side effects, operations to remove tumours can potentially not go as expected and recovering can be hindered… All resulting in multiple notes.

If anyone can explain it better please do, because this article is ridiculous.

“Disabled people face barriers at every stage of working life and are nearly twice as likely to leave work as non-disabled people.

“The DWP needs to be listen to the experiences of disabled people and understand the impact of any decisions that are made. They also need to recognise that some people might not be able to work.”

My org are currently trying to oust a lot of disabled people by bringing in more restrictions on who can do the work via an org “redesign”. They are looking to funnel a lot of the permanently injured and disabled into leaving voluntarily via a Voluntary Exit Scheme (Like redundancy but for disabled people). It’s gross and while it does come with a financial incentive it’s basically buttons. So while they are trying to say they want disabled and sick to go to work the govt are actively cutting funding and forcing orgs who work for them to save money by cutting out the most vulnerable in their ranks.

Also by forcing a lot of businesses to remove WFH they restrict jobs even further for disabled people who can truly benefit from WFH policies.

I had major surgery in 2023. My sick note didn’t last long enough to get my pic line for my medication removed and whilst I was still under nursing care. It was deemed I could still work 10 hours a week according to all the systems. It took me nearly a year to get into full time work and two years later I was burnt out and on the brink of collapse just trying to survive.

Why, I had been ignoring every symptom, seizure and pain flair up collapse because its my “new normal” after the surgery but not enough funding for an investigation in my NHS trust as to what caused my problems and now I’m signed off for 4 months still fighting, still in pain, still trying to not get to be fully healed but to try and get back on my feet whilst being in pain and moving from day to day begging my body to behave.
2 months for specialist contact back already, 18 weeks wait list if I’m lucky for another after a treatment plan finishing back in January to literally keep me on my feet a little longer and trying to not think about possibly being homeless.

Non of this is the NHS fault but I’m still stuck on the receiving end of cuts, already dodgy government decisions and facing brick wall after brick wall because I have to. Banging out meds to function and getting basically used as a voting stick in the process. Looking for work that will take me to keep the lights on stuck in the your not bad enough for support because you don’t have an answer loop in the process.

These sick notes are sometimes the only reprieve people like me have but by all means happy to have another barrier when I’m only trying to survive.

Joke.

“The scheme builds on comments made by John Lewis chairman Sir Charlie Mayfield last year, who said the fit note system was “not working as intended” and called for an official review”

What does this mean for those in Wales & Scotland?

Didn’t the “fit note” replace the “sick note” for basically the same reasons they’re now replacing the fit note with this new system?

I’m so tired of governments blaming people instead of focusing and investing money to fix the underlying problems. Maybe spend the money on properly funding NHS mental health services instead. Shorter waiting times, faster referrals, more access to support, and better workplace protections.

I’m not someone who enjoys saying this but, Labour has basically transitioned into what the old Tory party was (pre Brexit). It’s like we’re back in pre 2010.

Back to the office to evolve stronger strains of “common” colds.

Some people are genuinely too sick to work and should be signed off.