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NHS Certificates of Unfitness to Work (or “sick notes”)

Do you need a doctor's certificate in the first seven days of an illness?

Certificates signed by a doctor in the first seven days of an illness are not usually necessary. In general, doctors and the Benefits Agency do not consider it necessary for patients to attend a doctor for sickness certification only. Illnesses which last less than one week are usually minor and self limiting and often do not require a visit to a doctor.

What do you need?

For the FIRST FOUR DAYS of any illness you do not require any form of certification. (It is for you to decide if you are fit to work).

For the NEXT THREE DAYS (including Saturdays and Sundays) you should complete a 'self-certificate'. The SC1 form is for the unemployed or self-employed which is sent to the Benefits Agency. The SC2 form is for those in employment; it is passed to and is available from your employer.

Only after the FIRST WORKING SEVEN DAYS do you need a doctor's certificate. Please request to see a doctor to get a Benefits Agency sick note (either a 'Med 3' or 'Med 5')

What are private sick notes and do you need one?

Some employers or insurance schemes demand you to provide a 'sick note'. The doctors will charge either the employer or you a fee to examine and provide you with this private certificate. It is legally unnecessary and takes up medical time. If your employer pressurises you for written evidence, we understand your predicament. Please inform your employer to make their request in writing to Fortrose Medical Practice.


Advocacy/Chaperones/Interpreter

Patients are welcome to attend any appointment accompanied by a friend or relative, if they find this helpful. Patients attending on their own may also ask for a chaperone to be provided during a consultation with the doctor or nurse.
If required an interpreter can be organised to accompany the patient to see the doctor but we will require prior knowledge of this so that we have time to make the necessary arrangements.

We can also arrange support for communicating with deaf patients or with deafblind patients. This includes British Sign Language, Lip speaking service, note-taking service and deafblind interpreters and communicators. Please note that we will require prior warning of the need for such services so that the necessary arrangements can be made.

Teaching at the practice

From time to time we teach medical students and other doctors. This will not be done without your consent. You will be asked before going in to see the doctor whether or not you agree to being videoed or to having another clinician present during the consultation.

Violence and Abuse

A zero-tolerance policy towards violent, threatening and abusive behaviour is now in place throughout the NHS. The staff in Fortrose Medical Practice have the right to do their work in an environment free from violent, threatening and abusive behaviour and everything will be done to protect that right. At no time will any violent, threatening or abusive behaviour be tolerated in this practice. If you do not respect the rights of our staff we may choose to inform the police and make arrangements for you to be removed from our medical list.

Freedom of Information (Scotland) Act 2002

This Act came into force on 1st January 2005 and enables any person requesting information from a public body to receive that information, subject to certain exemptions. This is to encourage public authorities to be more open and accountable and organise their information in an efficient and accessible way.

This excludes personal data.

The Practice has a Freedom of Information Policy, which is available on request from the Practice Management.

Data Protection Act 1998

You are entitled to access your clinical records held by the Practice. This should be done in writing stating exactly what information you require. A charge may apply for this request of between £10 - £50 maximum.

Confidentiality of Records

In order to provide care for you we are obliged to keep records. This is increasingly done using computers. We are obliged to comply with the Data Protection Act 1998 and other guidance on privacy and data confidentiality, and we take this very seriously.

In order to manage services and improve the quality of care we provide we share some information on practice activity – e.g. with Community Health Partnerships, NHS Boards, the Scottish Executive and the Common Services Agency. Whenever possible this information is anonymised – i.e. names and other identifying details are removed.

Information is not shared with any third party outside the Health Service (e.g. Insurance Companies, employers, solicitors) without your explicit signed consent and agreement.

We are obliged by law to provide certain information – e.g. notification of certain infectious diseases.

Practices undergo regular visits by external assessors, whose purpose is to verify the process of the practice’s quality of care to the patient; therefore they may need to view the records of a random number of individual patients. The visiting team adheres to a strict code of confidentiality.

If you do not wish your records to be inspected, then please inform the Business Manager.

We help to provide statistics for medical research and to allow planning ahead for treatments, patient numbers etc. This information is anonymised and does not contain any personal details of our patients.

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Please note that any advice on our website is for registered patients only and it should not be used as a substitute for seeking advice from a GP.  Electronic transmission of data via our website (i.e. emails to us and using the electronic repeat prescription facility) may not be totally secure.
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