GPs should 'not sign off long-term sick'


Prof Carol Black says an independent assessment service would enable more people on long-term sickness to return to work

Related Stories

People should be signed off for long-term sickness by an independent assessment service and not GPs, a government-backed review says.

The review also suggests tax breaks for firms which employ people who suffer from long-term conditions.

It is estimated the changes would send 20% of those off sick back to work.

A Department for Work and Pensions spokesman said: "The government is committed to supporting more people with health conditions to work."

Around 300,000 people a year are absent from work due to long-term sickness.

The review also calls for a new government backed job-brokering service, to find work for people cannot stay in their current job because of their condition.

A survey suggested 77% of GPs had signed people off sick for reasons other than their physical health, the report authors told the BBC.


The authors of the independent review believe that one in five of people currently on "the sick" could be back at work if their recommendations are accepted.

That is the kind of change that David Cameron and Work and Pensions Secretary Iain Duncan Smith want to see if they are to deal with a welfare dependency which they believe has spiralled out of control.

There's talk of tax incentives for firms to take on or retain staff with long-term conditions and government-backed help to find a more appropriate job for those who can no longer do what they have been doing could also be on offer.

Both the prime minister and Labour's Ed Miliband have talked recently about a "something for something" society.

The emphasis is on putting in if you want to get something out.

But there will be concern, particularly among the most vulnerable, especially those who suffer fluctuating illnesses, about how stringent and flexible any new assessment could be.

The government asked Professor Carol Black and the former head of the British Chambers of Commerce David Frost to consider radical changes to deal with the human and financial cost of sickness absence in the workplace.

Tax breaks

If the recommendations are accepted people who are signed off sick would also be put on to Job Seekers' Allowance, instead of Employment Support Allowance, for a period of three months.

They would receive less money and have to prove they were looking for work.

Tax breaks for firms which employ people who suffer from long-term conditions are also being suggested.

Prof Black said the current system was not working for anyone.

"What the GPs say is they don't have time to do an in-depth functional assessment and nor have they had any training in occupational health so we think it's providing a new unique service that both employers and GPs need."

Mr Frost said when people were away from work for periods of over four weeks it started to morph into something more.

"You start to lose the will to work and what we've got to do is to find a way of actually working with them, encouraging them and providing real, practical help. And that's what the assessment service would do," he said.

'Punitive process'

And welfare reform minister Lord Freud said: "We just don't get adequate help for people early enough when they need it and what we are creating in there is an incubator for lifelong idleness for far too many people."

BBC political correspondent Robin Brant said the new service was likely to assess people "more quickly and more stringently".

The report authors estimate the changes could save taxpayers at least £350m each year.

The deputy chair of the British Medical Association's GPs committee, Dr Richard Vautrey, said the changes could be a good thing for patients.

He said: "If what is being described is a proper health, occupational health assessment at an earlier stage in the patient's illness then that would be helpful.

"But if it turns out to be a punitive process just to try and save money without the best interests of the patient at the heart of the process then it will fail."

The DWP spokesman said: "The economy loses £15bn in lost economic output each year due to sickness absence and we cannot continue to foot this bill."


More on This Story

Related Stories


This entry is now closed for comments

Jump to comments pagination
  • rate this

    Comment number 893.

    The problem with this is the same with the medical for the current ESA shennanigans lots of people will be forced back to work when they are not fit for it.
    While it is good to try and force the malingerers back to work it is going to effect the genuine people needing help more than it will the malingerers and because of this it will be just another exercise to try and get the 15bn deficit down

  • rate this

    Comment number 884.

    As an employer, it isn't long term sickness that bothers me or affects my business as much as short term sickness. GP's are far too quick to sign people off for very little reason. A great GP told an employee of mine that she was ok to return to work and wouldn't get a sick note.

    She just changed to a new GP.

  • rate this

    Comment number 880.

    last year i had a complete knee replacement, i was back at work part time in 5 weeks and full time 4 weeks after that, because my employers made accomodation for my disability and my physical therapy appointments, that is what is needed and i hope that it what this is bringing, it is true the longer you are off work the less desire you have to return.

  • rate this

    Comment number 878.

    I work as a psychiatric nurse on an elderly challenging behaviour ward. The patients are mainly physically aggressive. I attended Dame Carol Black's lecture at Northumbria University in Newcastle and described my working conditions to her. She was shocked at some the things I described, then said, "This report will help the majority of people." Worrying for me.

  • rate this

    Comment number 579.

    Last year I dislocated my leg at the knee and was off work for 4 months. I have had 1 of the 3 operations I need to get me back to fitness, After 2 months a medical advisor deemed me fit for work and my benefits where stopped. I am now back to work unable to improve my destroyed knee due to a flawed system. Constant pain an danger of redislocation but hey at least they got me back to work right?!?


Comments 5 of 13


More UK stories



Copyright © 2015 BBC. The BBC is not responsible for the content of external sites. Read more.

This page is best viewed in an up-to-date web browser with style sheets (CSS) enabled. While you will be able to view the content of this page in your current browser, you will not be able to get the full visual experience. Please consider upgrading your browser software or enabling style sheets (CSS) if you are able to do so.