Fit Note vs Sick Note: What’s the Difference in the UK?

Fit Note vs Sick Note: What’s the Difference in the UK?

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