Fit Notes Explained for Managers

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About Course

The fit note is the main medical evidence of sickness absence in Great Britain. This course explains when a fit note is needed, who can issue one, the difference between “not fit for work” and “may be fit for work”, how to use the advice on adjustments and phased returns, and how fit notes link to statutory sick pay.

Tutwoo is an independent learning provider. This course summarises official guidance for Great Britain as at October 2026. It is not medical or legal advice.

What Will You Learn?

  • Know when employees can self-certify and when a fit note is needed Recognise valid fit notes and who can issue them Use "may be fit for work" advice to support an early, safe return Link fit notes to statutory sick pay correctly

Course Content

Course Lessons

  • When a fit note is needed
  • “Not fit” and “may be fit”
  • Fit notes, sick pay and good practice

Sources & Further Reading
The official guidance this course is based on.

Final Assessment

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