Are Fit Notes and Sick Notes Different?
No. They are the same document. “Fit note” is the official UK term.
“Sick note” is the commonly used phrase.
Both refer to a medical certificate confirming fitness for work.
Why Were Fit Notes Introduced?
Fit notes were designed to:
● Focus on what employees can do
● Encourage workplace adjustments
● Reduce unnecessary long-term absence
Rather than simply signing someone off, fit notes promote recovery-focused solutions.
What Can a Fit Note Say?
A fit note may state:
● You are not fit for work, or
● You may be fit for work with adjustments
Adjustments can include:
● Reduced hours
● Remote working
● Altered duties
● Phased return
Employers should seriously consider these recommendations.
When Is a Fit Note Required?
● Only after 7 calendar days of sickness
● Issued by a medical professional
● Valid whether digital or paper
The format does not affect legality.
Are Online Fit Notes Legal?
Yes. Digital fit notes are now routine across UK healthcare. Legitimacy depends on:
● Clinician registration
● Medical assessment
● Proper documentation
Key Takeaways
● Fit note = sick note
● Focus is on capability, not just absence
● Adjustments are encouraged
● Digital notes are valid


