Sickness Certificates

When do I need a fit note?

7 days off sick or less

If you’re off work sick for 7 days or less, your employer should not ask for medical evidence that you’ve been ill. Instead they can ask you to confirm that you’ve been ill. You can do this by filling in a form yourself when you return to work. This is called self-certification.

More than 7 days off sick

If you’re off work sick for more than 7 days, your employer will usually ask for a fit note (or Statement of Fitness for Work) from a healthcare professional. Fit notes are sometimes referred to as medical statements or doctor’s notes.

How to count sick days

When you work out the number of days that you’ve been sick, you need to count all the days in a row you’ve been sick, including days you do not usually work, such as weekends and bank holidays.

How can I get a fit note?

If you need a fit note and haven’t seen the practice regarding your health condition this will require an appointment which you can request via patchs. If you require a sicknote extension for an existing condition which we have already issued a sick note, please complete a patchs with the length of extension required and how you would like this to be sent i.e collect in person, email etc. Please allow 2 weeks for this to be completed.

Charges for fit notes

There is never a charge from a healthcare professional for providing a fit note if you’re off sick from work for more than 7 days.

For sickness of 7 days or less, your GP practice may charge you to provide a private medical certificate.

For example, some employers may request medical evidence from employees who repeatedly take time off sick, even if each time they’re off work it’s for 7 days or less. A fit note cannot be used for this purpose and a healthcare professional may charge to issue a private certificate.

Further information

Cervical Screening

As part of the national cervical screening programme, women from age 25 are invited for cervical screening (smear test). 

The test checks for abnormal changes in the cells in the cervix to identify them at an early stage enabling early treatment.

When you receive your letter inviting you for screening, you can book an appointment with a nurse online or by contacting the Practice.

For further information of the cervical screening programme https://www.nhs.uk/conditions/cervical-screening/

smear

Traveling Abroad

Travel Vaccinations

If you require any travel advice, vaccinations or anti-malaria treatment you need to collect a form from reception to complete and return at least 2 months prior to your departure date. This will enable our nursing team to personalise appropriate advice and management to meet your needs.

There is further information about countries and vaccinations required on the links below

Europe Europe & RussiaNorth America North America
Central America Central AmericaSouth America South America
Caribbean CaribbeanAfrica Africa
Middle East Middle EastCentral Asia Central Asia
East Asia East AsiaAustralasia  Australasia and Pacific

It is important to make this initial appointment as early as possible  – at least 6 weeks before you travel – as a second appointment will be required with the practice nurse to actually receive the vaccinations.  These vaccines have to be ordered as they are not a stock vaccine.  Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.  This is because not all travel vaccinations are included in the services provided by the NHS.


Travelling in Europe

If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday.  To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)

Private Services

Insurance Reports

We happily undertake private reports as requested on behalf of our patients once appropriate consent has been demonstrated.

Miscellaneous Forms

We will undertake various other forms as appropriate these include holiday insurance cancellation forms, private letters, private sick notes. Please note our fees are now payable for these in advance. Please note that we do not complete passport forms.

We endeavour to undertake our private work in a timely and efficient manner, However please be aware that the practice will prioritise NHS work.

Family Planning and Contraception Services

We offer a range of options for contraception and are happy to discuss all the available options.


Forgettable Methods of contraception (Long Acting Reversible Contraception)

Nexplanon

A contraceptive implant providing excellent cover for three years. It is placed under the skin on the inside of the left upper arm under local anaesthetic.

Depo Provera

A 3 monthly injection, given into the top of your buttock, providing good contraceptive cover.


Other Methods of contraception

Combined Oral Contraceptive Pill (the pill)

A variety of different combined pills are available which work well providing you remember to take them. It  can be used to help control periods and for treatment of period related problems.

Progesterone Only Pill (the mini pill)

These pills work well providing you remember to take them. They are taken every day, and can be used in many women for whom the combined pill is not suitable.

Contraceptive Patch (Evra)

Essentially the combined oral contraceptive pill used as a patch, these are applied weekly for three weeks followed by a week break.

Contraceptive Ring (Nuvaring)

Essentially the combined oral contraceptive pill in a vaginal ring that is easily placed inside the vagina. Users report ease of use and lack of awareness it is in. It is left in for 3 weeks and then removed for a week break followed by insertion of a new ring.

Condoms

Very useful as protection against sexually transmitted disease but not ideal as a contraceptive alone for preventing pregnancy due to a comparatively high failure rate.


Emergency Contraception

The earlier the better after an episode of unprotected sexual intercourse is the general rule. This is available directly from some chemists. We will endeavour to see you as soon as possible and discuss the options with you, these include a tablet, and insertion of a coil. We will happily discuss ongoing contraception also.


Termination of Pregnancy

In Leeds if you have decided you want to proceed with a termination you can refer yourself to one of the services below. Both these service offer quick acess, can provide counselling and offer ongoing contraception.

BPAS (British Pregnancy Advisory Service)

   Tel:08457 30 40 30 (open 24/7), website: www.bpas.org

Marie Stopes International

   Tel: 0845 300 8090 (open 24/7), website: www.mariestopes.org.uk

If you would prefer to see your GP first or if you have significant existing medical conditions then please book an appointment. All our doctors realise this can be a difficult decision and will handle the issues with empathy and sensitivity. All the doctors are willing to refer for terminations. We will also happily discuss ongoing contraception.

Annual Reviews

We offer our patients with a long term health condition an annual review with some being reviewed 6 monthly. You will automatically be invited at appropriate times.

  • Diabetes
  • Ischaemic Heart Disease
  • Hypertension
  • Stroke
  • Heart Failure
  • Chronic Kidney Disease
  • COPD
  • Asthma
  • Hypothyroidism
  • Epilepsy
  • Severe Mental Health Conditions
  • Learning Disability

NHS Health Check

In line with a national programme we offer a free health check for all adults aged 40-75. This involves a lifestyle assessment along with simple blood tests which in part help us to calculate a vascular risk score. We can subsequently offer advice and if appropriate treatment to help reduce the risk of you becoming unwell in the future. Please ask at reception to book for an NHS Health Check. All eligible patients will be invited for this in time but you are welcome to request one sooner if you meet the criteria. Note if you already have a chronic disease and have annual reviews at the surgery this is unnecessary as we already calculate this for you. For further information https://www.nhs.uk/conditions/nhs-health-check/

Joint Injections

Corticosteroid injections are offered for patients in the surgery for appropriate conditions including osteoarthritis, tennis elbow, golfer’s elbow and carpal tunnel syndrome. Alternative options for management will always be discussed along with the risks and expected benefits.