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.

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"I’ve done respiratory nursing clinics through Frimley ICS Primary Care Staff Bank and it was such a great experience. During my clinic I realised how valued and needed my skills are. Locuming gave me a great sense of pride and enthusiasm and I felt respected for my work. It was really easy to book and get paid too. I would recommend LocumDeck for Nurses to my colleagues."

Katrina Munro, Nurse Ambassador, Frimley Training Hub

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