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eMED3 (fit notes) Data Collection


The Health and Social Care Act 2012 (the Act) gives the Health and Social Care Information Centre (HSCIC) statutory powers, under section 259(1), to require data from health or social care bodies or organisations who provide health or adult social care in England, where it has been Directed to establish an information system by the Department of Health (DH) (on behalf of the Secretary of State) or NHS England.  When a direction is received, the HSCIC can issue a Data Provision Notice to the appropriate providers of the required data who are then legally required, under section 259(5) of the Act, to provide the data in the form and manner specified below.


Purpose of the Collection

The purpose of the anonymised data collection is to provide the Department for Work and Pensions with information derived from computer generated ‘Med3’ forms, known as fit notes, to:


  1. undertake research analysis to inform policy relating to employment and sickness absence, including evaluation of the new Fit for Work service, which provides an occupational health assessment, and Employment Support Allowance and Universal Credit;

  2. identify geographic, Clinical Commissioning Group (CCG) and GP practice level differences in sickness absence management to inform policy development and continuous improvement, resulting people returning to work sooner;

  3. enable baseline comparisons for the Fit for Work service;

  4. use fit note data to build an understanding of the drivers for benefit claiming;

  5. enable CCGs to self-audit their fit note to inform their own policy and commissioning decisions.


Benefits of the collection

The Department of Health believes that it is in the public interest for aggregated data to be made available to the Department for Work and Pensions as this permits effective evaluation of a major new programme, the Fit for Work service, which contributes directly to the health management of the individuals referred to it. An early return to work helps to prevent short-term sickness absence from progressing to long-term absence and ultimately worklessness. This is a benefit for the patient, as well as a benefit to the economy.  It is also important to understand geographical differences in fit note prescribing as this contributes to the wider debate on the efficient use of health service resources, and to the broader identification of public health geographical differences.  The health service and public health have an interest because evidence shows that being able to work is an important part of health and wellbeing, and supporting people to return to work can form part of their recovery from ill health. The published CCG level statistics will be of use to health agencies, including Public Health England, to supplement public health datasets. CCGs will be able to self-audit their fit note data against comparable data to help inform their own policy development and commissioning decisions.

Publication of GP net earnings

All GP practices are required to declare the mean earnings (e.g. average pay) for the GPs working to deliver NHS services to patients at each practice.

The required disclosure is shown below.  However it should be noted that the prescribed method for calculating earnings is potentially misleading because it takes no account of how much time doctors spend working in the practice, and should not be used to form any judgement about GP earnings, nor to make any comparison with other practices.

The average pay for GPs working in Hucclecote Surgery in the last financial year was £77,703 before tax and National Insurance.  This is for 2 full time GPs and 4 part time GPs who worked in the practice for more than six months.”

March 2018


The NHS in England is introducing the Summary Care Record, which will be used in emergency care.


The record will contain information about any medicines you are taking, allergies you suffer from and any bad reactions to medicines you have had to ensure those caring for you have enough information to treat you safely.


Your Summary Care Record will be available to authorised healthcare staff providing your care anywhere in England, but they will ask your permission before they look at it. This means that if you have an accident or become ill, the doctors treating you will have immediate access to important information about your health.


Your GP practice is supporting Summary Care Records and as a patient you have a choice:


Yes I would like a Summary Care Record – you do not need to do anything and a Summary Care Record will be created for you.

No I do not want a Summary Care Record –please complete the form found on and hand it to a member of the GP practice staff.


If you need more time to make your choice you should let your GP Practice know.  For more information talk to GP practice staff, visit the website or telephone the dedicated NHS Summary Care Record Information Line on 0300 123 3020.  Additional copies of the opt out form can be collected from the GP practice, printed from the website  or requested from the dedicated NHS Summary Care Record Information Line on 0300 123 3020.


You can choose not to have a Summary Care Record and you can change your mind at any time by informing your GP practice. 


If you do nothing we will assume that you are happy with these changes and create a Summary Care Record for you. Children under 16 will automatically have a Summary Care Record created for them unless their parent or guardian chooses to opt them out. If you are the parent or guardian of a child under 16 and feel that they are old enough to understand, then you should make this information available to them.