We call on the government to amend current legislation and associated guidance to allow registered healthcare professionals—such as paramedics, advanced clinical practitioners, and allied health professionals—to issue fit notes, where it is within their scope of practice.

We think statements of Fitness for Work are vital tools in supporting patients' health & occupational needs. Currently, only doctors & limited other registered roles (registered nurses, occupational therapists, pharmacists and physiotherapists) can issue fit notes, which we think can lead to delays, & inefficiencies in patient care. We think paramedics & other registered HCPs such as advanced clinical practitioners already assess, treat, & manage patients; & are well-placed to make fitness for work assessment within their scope of practice.