How to Get a Sick Note in the UK: Self-Certification, GP Notes, and Online Options

Patient and doctor talking about diagnose

Introduction

If you're feeling unwell and need time off work, you might be wondering how to get a sick note. In the UK, sick notes (or fit notes) are issued by healthcare professionals to confirm that you’re unfit to work. But do you always need one? And can you get a sick note online? This guide breaks it all down, from self-certification sick notes to getting a sick note from your GP or even extending a sick note if needed.

When Do You Need a Sick Note?

If you're off work due to illness, whether you need a sick note from a doctor depends on the length of your absence.

Self-Certification Sick Note (For Up to 7 Days)

  • If you’re off sick for 7 days or less, you do not need a sick note from a GP.
  • Instead, you can self-certify by informing your employer that you’re unwell.
  • Some employers might ask you to complete a form or send an email confirming your sick leave.
  • You are still entitled to Statutory Sick Pay (SSP) if you meet the eligibility criteria.

Getting a Sick Note from a GP (For More Than 7 Days)

  • If your illness lasts more than 7 calendar days (including weekends and bank holidays), you need a sick note from a GP or another healthcare professional.
  • You should contact your GP surgery, where a doctor, nurse, physiotherapist, pharmacist, or occupational therapist can assess your condition.
  • A fit note can be provided in paper form or via email.
  • If you can’t get a GP appointment right away, let your employer know and provide the sick note as soon as possible.

For a faster sick note assessment, consider booking a private sick certificate with us.

How to Get a Sick Note from the Doctor

Step 1: Contact Your GP Surgery

  • Book an in-person or telephone consultation.
  • Explain your symptoms and how they affect your ability to work.
  • If necessary, the GP will issue a fit note confirming whether you’re “not fit for work” or “may be fit for work” with adjustments.

Step 2: Request an Online Sick Note

Some GP surgeries now allow patients to request a sick note online through their website or the NHS App.

Step 3: Provide the Fit Note to Your Employer

  • Once you receive your sick note from the doctor, give a copy to your employer.
  • Employers should only request a fit note from the 7th day of absence.

Can a Doctor Refuse a Sick Note?

Yes, a doctor can refuse a sick note if they believe you are fit to work or that adjustments can be made to help you return. If this happens:

  • Speak with your employer about possible workplace adjustments.
  • Request a second opinion from another healthcare professional if needed.

Extending a Sick Note in the UK

If you are still unwell when your sick note runs out, you may need an extension. Here’s what to do:

  1. Book another appointment with your GP before your current fit note expires.
  2. Explain why you’re still unfit for work.
  3. The GP may issue another fit note if required.

If you're looking for a hassle-free way to extend your sick note certificate, book a private GP consultation today.

Can I Return to Work Before My Sick Note Ends in the UK?

Yes! If you feel better before the end date on your sick note:

  • You do not need to see a doctor for permission to return.
  • Speak with your employer about returning to work early.
  • Your employer may request confirmation, but a GP is not required to provide it.

FAQs About How to Get a Sick Note

How Can I Get a Sick Note Online?

Some GP surgeries offer online sick note requests via their website or the NHS App. You’ll still need an assessment, which may be done over the phone.

What Happens If My Sick Note Runs Out?

If you’re still unwell, contact your GP for a sick note extension before the current one expires.

Can I Get a Sick Note from a Pharmacist?

Yes, in some cases. Pharmacists at GP surgeries, hospitals, or clinics can issue fit notes.

Can I Self-Certify a Sick Note for More Than 7 Days?

No. Self-certified sick notes only apply for up to 7 days. After that, a sick note from a doctor is required.

Do I Have to Pay for a Sick Note?

No, sick notes are free if you've been ill for more than 7 days. If your employer asks for evidence before then, your GP may charge a fee.

What If My Employer Doesn’t Accept My Sick Note?

If your employer refuses to accept a valid fit note, seek advice from Acas or Citizens Advice.

Final Thoughts

Knowing how to obtain a sick note is important when you need time off work due to illness. If you’re off for 7 days or less, self-certify. For longer absences, get a sick note from your GP, which can often be requested online. If your condition persists, ensure you extend your sick note before it expires.

Need a quick, hassle-free fit note? Book a private sick certificate with us today to get expert medical advice without long NHS wait times.

If you have any concerns, don’t hesitate to reach out to your employer, or GP for guidance. Stay well and take the time you need to recover!

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