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Cut reliance on sick notes to fix benefits crisis, says Labour’s employment tsar

The UK government aims to reduce ill-health costs of £212 billion annually by revamping sick notes and introducing tax incentives for employers supporting disabled and ill workers.

  • On Wednesday the UK Government said more than 60 vanguard employers will pilot a workplace health strategy, while Sir Charlie Mayfield's Keep Britain Working report proposes sick note overhaul before the Budget later this month.
  • Sir Charlie Mayfield says Britain faces a crisis as ill-health drives people out of work, with 93 per cent of fit notes in England marking patients not fit for work.
  • A proposed workplace health provision would remove doctors' sign-off, shift control to employers, and offer tailored support via the NHS app, including Stay in Work and Return to Work plans.
  • A new Workplace Health Intelligence Unit would collect data, build evidence, and report annually to ministers and businesses, while linking alternative dispute resolution to standards aims to reduce tribunal risks and firms tackling sickness gain tax reliefs, rebates, and national insurance adjustments.
  • Over the next several years the plan envisions phased delivery across the UK based on vanguard employers' evidence, with Alice Martin cautioning workplace provision must complement medical professionals and Mayfield proposing incentives to prevent a two-tier system.
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The Telegraph broke the news in London, United Kingdom on Wednesday, November 5, 2025.
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