Personnel Today
  • OHW+
  • Resources
    • Clinical governance
    • Disability
    • Ergonomics
    • Health surveillance
    • OH employment law
    • OH service delivery
    • Research
    • Return to work and rehabilitation
    • Sickness absence management
    • Wellbeing and health promotion
  • Conditions
    • Mental health
    • Musculoskeletal disorders
    • Blood pressure
    • Cancer
    • Cardiac
    • Dementia
    • Diabetes
    • Respiratory
    • Stroke
  • CPD
  • Webinars
  • Jobs
  • Personnel Today

Register
Log in
Personnel Today
  • OHW+
  • Resources
    • Clinical governance
    • Disability
    • Ergonomics
    • Health surveillance
    • OH employment law
    • OH service delivery
    • Research
    • Return to work and rehabilitation
    • Sickness absence management
    • Wellbeing and health promotion
  • Conditions
    • Mental health
    • Musculoskeletal disorders
    • Blood pressure
    • Cancer
    • Cardiac
    • Dementia
    • Diabetes
    • Respiratory
    • Stroke
  • CPD
  • Webinars
  • Jobs
  • Personnel Today

Fit for WorkFit notesReturn to work and rehabilitationSickness absence managementWellbeing and health promotion

Covid variants and end of furlough led to rise in fit notes

by Nic Paton 18 Jul 2022
by Nic Paton 18 Jul 2022 An employee at home with Covid
Image: Shutterstock
An employee at home with Covid
Image: Shutterstock

The number of fit notes issued by GPs hit a record high of 10.3 million in 2021, a 17% increase from the 8.8 million issued in 2020, research has suggested.

The analysis by employment law firm GQ|Littler comes as fit note certification has been expanded this month to a wider range of healthcare professionals beyond just GPs and doctors, including potentially occupational health nurses.

The increase in fit notes was likely to be down to a number of factors, GQ|Littler said, including the higher numbers of Covid infections in 2021 as people returned to the office plus overseas travel resuming following lockdowns in 2020.

For example, there were 7.3 million cases of Covid between April 1 and December 31, 2021, compared to two million in the same period in 2020, it pointed out.

During the lockdowns, it was likely many people continued to work from home while unwell. Moreover, early on in the pandemic, when many workers were furloughed, especially those working in hospitality and tourism, they would have been unlikely to need fit notes if they were unwell.

However, as 2021 saw the end of furlough and many employers getting staff back into the workplace, while higher numbers of Covid cases as the alpha, delta and then omicron variants of Covid-19 took hold, this combination of these factors likely contributed to the rise in fit notes.

Fit note certification

SOM calls for fit note training for health workers

GPs call for new OH service to relieve fit note burden

New fit note rules add to businesses’ concerns over sick leave

Last year also saw a 10% increase in the number of ‘stress-related’ fit notes issued, from 257,000 in 2020 to 282,000 in 2021, GQ|Littler said.

This is a continuation of long-term trends in fit note certification, although the latest increase was probably fuelled by the impact of the pandemic on mental health and general anxiety.

GQ|Littler also warned that the rising cost of living  could exacerbate the mental health crisis, especially if, as expected, prices continue to spiral this autumn and winter, leading to a further increase in stress-related fit notes being issued.

Sophie Vanhegan, partner at GQ|Littler, said: “The spike in fit notes may reflect a rise in Covid infections following the end of lockdowns in 2021. As Covid cases start to rise again, employers are all too aware that this may hit staffing levels at a time when businesses are already under pressure from staff shortages.

Sign up to our weekly round-up of HR news and guidance

Receive the Personnel Today Direct e-newsletter every Wednesday

OptOut
This field is for validation purposes and should be left unchanged.

“One legacy from the pandemic is it is now frowned upon to come into the office whilst visibly unwell. This could also have contributed to the increase in notes being issued in roles which cannot be performed from home

“Supporting employees through their mental health issues is extremely important, not just for productivity and morale. In today’s competitive jobs market, organisations that are viewed as unsupportive may have difficulty attracting and retaining talent,” she added.

Nic Paton

Nic Paton is consultant editor at Personnel Today. One of the country's foremost workplace health journalists, Nic has written for Personnel Today and Occupational Health & Wellbeing since 2001, and edited the magazine from 2018.

previous post
Paid neonatal leave bill receives government backing
next post
Feeling safe at work: Sandi Wassmer talks to Oven-Ready HR

You may also like

Think-tank urges new approach to tackling rising cost...

31 Jul 2024

Fit notes should allow for referral to OH,...

22 Apr 2024

Plans to overhaul fit note system announced

19 Apr 2024

Top 10 HR questions June 2023: Time off...

4 Jul 2023

Warnings over patients unable to afford sick leave...

28 Nov 2022

Top 10 HR questions July 2022: heatwaves and...

1 Aug 2022

More health professionals to be able to certify...

10 Jun 2022

GPs call for new OH service to relieve...

23 May 2022

Staff with long Covid should be treated as...

1 Mar 2022

Smaller businesses and TUC unite for call to...

18 Feb 2022

  • 2025 Employee Communications Report PROMOTED | HR and leadership...Read more
  • The Majority of Employees Have Their Eyes on Their Next Move PROMOTED | A staggering 65%...Read more
  • Prioritising performance management: Strategies for success (webinar) WEBINAR | In today’s fast-paced...Read more
  • Self-Leadership: The Key to Successful Organisations PROMOTED | Eletive is helping businesses...Read more
  • Retaining Female Talent: Four Ways to Reduce Workplace Drop Out PROMOTED | International Women’s Day...Read more

PERSONNEL TODAY

About us
Contact us
Browse all HR topics
Email newsletters
Content feeds
Cookies policy
Privacy policy
Terms and conditions

JOBS

Personnel Today Jobs
Post a job
Why advertise with us?

EVENTS & PRODUCTS

The Personnel Today Awards
The RAD Awards
Employee Benefits
Forum for Expatriate Management
OHW+
Whatmedia

ADVERTISING & PR

Advertising opportunities
Features list 2025

  • Facebook
  • Twitter
  • Instagram
  • Linkedin


© 2011 - 2025 DVV Media International Ltd

Personnel Today
  • OHW+
  • Resources
    • Clinical governance
    • Disability
    • Ergonomics
    • Health surveillance
    • OH employment law
    • OH service delivery
    • Research
    • Return to work and rehabilitation
    • Sickness absence management
    • Wellbeing and health promotion
  • Conditions
    • Mental health
    • Musculoskeletal disorders
    • Blood pressure
    • Cancer
    • Cardiac
    • Dementia
    • Diabetes
    • Respiratory
    • Stroke
  • CPD
  • Webinars
  • Jobs
  • Personnel Today