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Expand who can issue fit notes to include paramedics and other registered HCPS

Submitted by Simon Downs on Tuesday 8th April 2025

Published on Tuesday 13th May 2025

Current status: Closed

Closed: Thursday 13th November 2025

Signatures: 37

Relevant Departments

Tagged with

Allied Health Professionals ~ Alliés ~ Clinical ~ delayed ~ Doctor ~ Expand ~ FITNESS ~ Healthcare ~ Limited ~ Nurses ~ Pharmacists ~ Registered ~ Scope ~ work

Petition Action

Expand who can issue fit notes to include paramedics and other registered HCPS

Petition Details

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.

Additional Information

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.


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