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Guide: Health and absence

Sick pay and fit notes: what you need to know

Statutory Sick Pay from day one, when you need a fit note, and how to return to work well.

Applies to
England, Scotland and Wales
Reading time
5 minutes
Reviewed
October 2026, by Tee Obi
This is general information, not legal advice. Laws change, so check the official sources below for your situation.

Statutory Sick Pay

Since 6 April 2026, Statutory Sick Pay is paid from your first day of sickness absence, and there's no longer a minimum earnings level. You get £123.25 a week or 80% of your normal weekly earnings, whichever is lower, for up to 28 weeks. Your contract may give you more, so check your sickness policy.

Telling your employer

Follow your employer's sickness reporting rules, such as who to call and by when. If there are no rules, you should tell them within seven days to get Statutory Sick Pay.

When you need a fit note

For the first seven days off sick, including days you wouldn't normally work, you can self certify. After that, your employer can ask for a fit note. Fit notes can be issued by doctors, nurses, pharmacists, occupational therapists and physiotherapists.

A fit note may say you're not fit for work, or that you may be fit for work with some changes, such as a phased return, changed hours or lighter duties. Your employer should talk to you about whether they can make those changes.

Coming back to work

A short return to work conversation helps you both. Talk about how you're feeling, any adjustments that would help, and how to keep in touch if things change. If you have a disability or long term condition, your employer must consider reasonable adjustments.

Where this applies. Statutory Sick Pay rules apply across Great Britain. Northern Ireland has its own rates and rules.

Common questions

Is sick pay paid from the first day now?

Yes. Since 6 April 2026, Statutory Sick Pay is paid from the first day of sickness absence.

Who can give me a fit note?

Doctors, nurses, pharmacists, occupational therapists and physiotherapists can issue fit notes.

Do I need a fit note for a few days off?

Not for the first seven days. You can self certify for those, including non working days.

References: GOV.UK, Statutory Sick Pay; GOV.UK, Taking sick leave; Acas, Sickness absence.

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