A 56-year-old man with chronic low back pain asks his GP to sign a fit note stating he is ‘not fit for work’ for the next 6 months. He has not been as...

Question

A 56-year-old man with chronic low back pain asks his GP to sign a fit note stating he is ‘not fit for work’ for the next 6 months. He has not been assessed by occupational health and there is potential for work adjustments. What is the most appropriate approach when completing the fit note?

Accepted Answer

Consider certifying that he ‘may be fit for work’ with suitable adjustments and include advice about modifications

Answer

Always sign him off as ‘not fit for work’ if he requests it

Answer

Decline to issue a fit note under any circumstances

Answer

Issue a backdated 6-month note without review

Answer

Ask his employer to decide what to write on the fit note

uk-plab-1 MCQ (SBA): Fit note content and work adjustments

A 56-year-old man with chronic low back pain asks his GP to sign a fit note stating he is ‘not fit for work’ for the next 6 months. He has not been assessed by occupational health and there is potential for work adjustments. What is the most appropriate approach when completing the fit note?