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Completing Fit Notes/Med 3

Completing Fit Notes/Med 3

 

The LMC has recently received several enquiries regarding when Fit Notes can be completed, especially whether a Fit note can or should be completed before another Fit Note has expired.

 

Government guidance on completing Fit Notes explains that the fit note is used to advise employers, employees, and DWP about a person’s fitness to work on the date that you have assessed them.  Thus, if this assessment occurs before the date a previous note expires then you can and should complete the note on the day of the assessment. 

 

Your options when assessing a patient for fitness to work

  • Do not give Med 3 as patient fit for work
  • Do not give Med3 as patient not fit for work but will be within 7 days
  • Give Med 3 stating not fit for work until a specified date
  • Give Med 3 stating may be fit for work considering further advice about: phased return to work, amended duties, amended hours, or workplace amendments.

 

The final option gives you the flexibility to make comment about why a Fit Note may be issued prior to previous note expiring.  For instance a previous note may expire on 30th May, you asses the patient on 23rd May and feel the patient can return to work so you can issue a Med 3 statin “You may be fit for work taking into account the following advice” tick the “phased return to work” box, and add a comment “can return to work from 24th May”.

 

The comments section is also helpful, as you can use this to request DWP assess a person’s long term need for Fit Notes.  If you believe a person will not be able to work long-term, tick the “you are not fit for work” box, and put in the comments section “unlikely to be able to work long-term, please assess”.

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