Sickness certificates

You do not require a doctor’s sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the Gov.uk website.

Evidence that you are sick

If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (Statutory Sick Pay). It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a ‘Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.

You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.

Statement of Fitness for Work – 'Fit Note'

The ‘Fit Note’ was introduced on 6 April 2010. With your employer’s support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.

For more information see the Government website (where this information was sourced).

How do I obtain a Fit Note?

For a doctor to issue a certificate you must have been seen either at the surgery or by the hospital. Some employers insist on a certificate within the first seven days – please note that a charge may be made for this.

Group A Streptococcus - Information for families and carers of children

You may have seen reports about a higher-than-usual level of Group A streptococcus (GAS) infections in children this year, and we understand if you are concerned.

GAS is a common bacteria – lots of people carry it without being unwell.

It can cause many common mild infections, including sore throats or scarlet fever, which can be easily treated with antibiotics. 

The information below explains how it is spread, and what to look for when your child is unwell.

How is it spread?

GAS spreads by close contact with an infected person. It can be passed on through coughs and sneezes, or from a wound.

Which infections does GAS cause?

The bacteria usually causes a mild infection, producing sore throats or scarlet fever, which can be easily treated with antibiotics.

What is invasive group A strep?

This is when the bacteria gets into the bloodstream and causes serious illness – called invasive Group A strep (iGAS). These cases are very rare.

Symptoms of mild GAS infections

Symptoms of mild infections include: sore throat; fever; chills; muscle aches; and in cases of scarlet fever, a rash and a white coating on the tongue, which peels leaving the tongue red, swollen and covered in bumps

When to contact us:

– If your child is not recovering after a bout of scarlet fever, a sore throat, or a respiratory infection, and you are concerned they are becoming more unwell

– If your child is drinking much less (50% less) than normal

– If your child has had a dry nappy for 12 hours or more, or shows other signs of dehydration

– If your baby is under three months and has a temperature of 38C, or is three to six months old and has a temperature of 39C or higher

– If your child is very tired or irritable

Call 999 or go to A&E if:

– Your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs

– There are pauses when your child breathes

– Your child’s tongue or lips are blue, or their skin is mottled/pale

– Your child is floppy and will not wake up or stay awake

– Your child has a weak, continuous, or high-pitched cry