Sunak to cite Britain’s ‘sicknote culture’ in bid to overhaul fit note system

Rishi Sunak will today claim Britain is suffering from a “sicknote culture”, as he warns there is a risk of “over-medicalising” normal worries by diagnosing them as mental health conditions.

Sunak will say he is concerned about the increase in long-term sickness since the pandemic, largely driven by mental health conditions with 2.8 million people now “economically inactive”.

In relation to mental health, he will say he would “never dismiss or downplay the illnesses people have”, but also argue that there is a need to be “more honest about the risk of over-medicalising the everyday challenges and worries of life”.

His language echoes that of Mel Stride, the work and pensions secretary, who has claimed that too often doctors “label or medicalise” conditions which in the past were seen as “the ups and downs of life”.

The law was changed last year to allow fit notes to be issued by any doctor, nurse, pharmacist, physiotherapist or occupational therapist in addition to GPs, who have traditionally overseen the system.

Ruth Rankine, the director of the NHS Confederation’s primary care network, said its members had “long advocated for a review of the fit note process which could be more effectively managed through trained professionals that support people back into work”.