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Scheme to Trial Scrapping Fit Notes to Get People Back to Work

The four pilots will test GP-led and non-clinical referrals, with up to 100,000 appointments and £3 million in funding.

  • The Government announced a new trial across four locations in England to overhaul the "broken" fit-note system, referring patients to support services for personalized "return to work" plans instead of simply issuing sick notes.
  • More than 11 million fit notes were issued last year, fueling concerns about a "sick-note culture" that the Government describes as a "tick-box exercise" excluding recipients from further employment support.
  • Backed by £3m of funding, the four pilot schemes cover up to 100,000 appointments over the next year, with patients in two areas bypassing GPs entirely to be assessed by social prescribers who can issue fit notes.
  • Care minister Stephen Kinnock said the pilots mark "the beginning of the end for that broken system," though Professor Victoria Tzortziou Brown of the Royal College of GPs warned reforms must be "fully resourced" to avoid burdening clinicians.
  • The programme aligns with the Government's 10 Year Health Plan and integrates with the NHS WorkWell scheme, which provides tailored services such as physiotherapy and counselling to keep people connected to their workplaces.
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26 Articles

Stoke SentinelStoke Sentinel
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New DWP 'sick note' rules being trialled in four areas of UK

It is trying to cut the number of benefit claimants off work

·Stoke-on-Trent, United Kingdom
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theoldhamtimes.co.uktheoldhamtimes.co.uk
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Brits issued health warning as GPs set to stop issuing sick notes under new scheme

Doctors are set to stop issuing traditional sick notes under a new government trial aimed at getting more people back to work.

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BBC News broke the news in United Kingdom on Wednesday, May 20, 2026.
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