Hundreds of GPs tell BBC they have never refused a sick note over mental health concerns

"Of the 752 GPs who replied, 540 said they had never refused such a request, while 162 told us they had turned at least one down. Some revealed how frustrated they were with the current system, saying the provision of fit notes should not be part of GPs' jobs. They also highlighted instances of patients becoming aggressive if they were not signed off work."

"It comes as the number of fit notes being issued has been steadily rising in recent years, with more than 11.2 million approved by GP practices in England last year. BBC analysis shows that number has increased by almost 850,000 in the past six years. However, more than 956,000 notes last year cited mental health and behavioural disorders as the underlying reason, far exceeding any other condition."

"Fit notes are approved when someone is unwell or cannot work for more than seven days. They do not have to specify why a person is being signed off, and 72% of fit notes do not give a reason. Fit notes advise on how the patients' health problems impact on their ability to work - and can help to access certain benefits and sick pay."

A BBC survey of 752 GPs found that 540 had never refused to sign sick notes (fit notes) for patients citing mental health issues, while 162 had denied at least one request. GPs expressed frustration with the current system, reporting instances of patient aggression and refusal to leave practices without documentation. Fit notes have increased significantly, with over 11.2 million issued in England last year—a rise of 850,000 over six years. Mental health and behavioural disorders account for over 956,000 fit notes annually, exceeding all other conditions. Notably, 72% of fit notes contain no specified reason for absence. Multiple healthcare professionals can issue fit notes, which determine work capability and access to benefits.

Read at www.bbc.com