Fit note GP guidance for urgent forms and letters

3rd December 2014 by Rachel Birch

Fit note GP guidance for urgent forms and letters

Dr Rachel Birch, MPS medicolegal adviser and sessional GP, presents two case scenarios highlighting fit note GP guidance on how to handle patient requests for fit notes (GANFYD) and letters

Fit note scenario 1

You are doing a one-day locum. You see Mr H, a 32-year-old patient with a six-week history of low back pain. It is worse with movement but there is no radiation and there are no red flag symptoms. He tells you that he works as a postman but has not been to work for six weeks due to the pain.

Examination reveals slight tenderness across the lower lumbar muscles but no bony tenderness. He has full range of movement and straight leg raising, together with an neurological examination, are normal.

Read for free

Sign up to access everything.

Free trial

Login

Already a member? Login to view this content.

Login

"I have found membership very helpful during my time as a GP locum and would like to thank you very much."

Dr Louise Napier-Hemy

See the full list of features within our NASGP membership plans

Membership