Medical Certificates: Autism and Mental Illness
2026-06-23 · Department of Health and Social Care · 13073 · Official question
Question
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that fit note assessments comply with NICE guidelines for autism and severe mental health conditions.
Answer
Fit notes can be certified by five groups of healthcare professionals: doctors; nurses; occupational therapists; pharmacists; and physiotherapists.Fit notes are based on the professional’s clinical assessment of a patient’s health condition, and their cli...