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Welcome to
The Selsdon Park Medical Practice
97 Addington Road, Selsdon, South Croydon CR2 8LG

Part of the SWC Medical Group (Selsdon, Warlingham & Caterham)


020 8657 0067

020 8657 0037


Medical Certificates


If you are absent from work for more than 3 days because of illness you need to complete form SC2 (or SC1 if self-employed).  These should be available from your employer. Please click on this link for the SC2 form  www.gov.uk/government/publications/statutory-sick-pay-employees-statement-of-sickness-sc2

For absences of seven days or more you will need a certificate from your doctor.

GPs are not obliged to issue a certificate of absence where this is of less than 7 days duration. However, they may choose to certify an absence as a private service subject to a payment of a fee.  

There is also no requirement for a GP to issue a certificate for other institutions such as schools requesting one for children having time off for sickness as this is not based on “occupational” need.  These requests will be refused, or alternatively offered as a private letter service subject to the payment of an appropriate fee.


Statement of Fitness to Work (MED 3)

The new format allows a doctor to certify that the patient is not fit for work, or that they are “fit for work subject to the following advice”. This second option may be used where the patient is unable to work all of their normal hours, or may need some support or changes to their normal duties.  Where an employer is not able to comply with the recommendations then this is a matter for the employer and the employee, and a new certificate is not appropriate.


Key Facts

  • Only a doctor can issue a certificate.
  • Telephone consultations are acceptable as a means of assessing the patient.
  • During the first 6 months of absence the certificate may only be issued for a maximum of 3 months absence from work.
  • After the first 6 months the period may be for any which is “clinically appropriate”.
  • The advice on the certificate is not binding on employers.
  • Occupational health expertise is not required.
  • Advice may include aspects such as amended hours, workplace adjustments, changes to duties, phased returns, assistance, and workplace adaptations.
  • No charge may be made for employment purposes. 
  • No Statement is required until after 7 days absence.
  • A Statement may be issued:

- On the day the patient is assessed.

- On the date after the patient is assessed if considered that it would have been reasonable to issue the Statement the day before.

- After considering a written report from another doctor or registered healthcare professional.

The date of the assessment of the patient is the day of a face to face, or telephone consultation, or date of consideration of the written   

report referred to above.

A Med 3 certificate can be issued towards the end of the first week (day 6 or 7) of the illness if it is obvious that the patient will not be fit to return to work by the 7th day. A Med 3 must be issued by the 7th day and it is appropriate for the patient to be given a Routine, 48 hour or even a Rapid Access appointment under these circumstances. Patients with a continuing disability requiring Med 3 certificates should book a Routine appointment in advance of the expiry date of their certificates. Such patients should not access the 48 hour, rapid Access or Emergency slots for this purpose. Truly housebound patients (see section on Visits for guidance) will be visited at home by their regular doctor who will issue the certificate.

Patients discharged from hospital should be given an appropriate certificate by their consultant. The hospital should issue a certificate covering the entire period of recovery required. Please ensure you have this before leaving the hospital.


Certificates, which are issued for other reasons other than these, are outside the NHS contract and attract a fee.



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