Independent research published by the University of Nottingham in 2015 shows that the fit note is misunderstood by employers and GPs and advises that more training and investment is needed to realise its potential. Dr Carol Coole and Avril Drummond, who worked on the research, explain more. The UK Statement of Fitness for Work, or “fit note” was introduced in 2010 to facilitate returns to work and reduce avoidable sickness absence by encouraging GPs to focus on what a patient can do at work, rather than what they cannot do. GPs now have the option of advising that a patient is “not fit for work”, or that they “may be fit” for work if appropriate modifications are made. Since its introduction in 2010, several individuals, groups and organisations have published results of research and investigations about the success of the fit note. These studies have included research reports commissioned by the Department for Work and Pensions (DWP) and sickness absence surveys conducted by employer organisations such as the Engineering Employers Federation (EEF).