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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

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General practitioners' use of sickness certificates.

Richard Roope¹, Gordon Parker, Susan Turner

¹The Whiteley Surgery, Fareham, UK. roope@talktalk.net

Occupational Medicine (Oxford, England)

|October 14, 2009

Summary

General practitioners (GPs) showed low awareness and use of Department of Work and Pensions (DWP) sickness certification guidelines. Improved GP education and monitoring are recommended to enhance sickness certification practices.

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Area of Science:

Occupational Medicine
General Practice
Health Policy

Background:

Sickness certification is primarily managed by general practitioners (GPs).
Department of Work and Pensions (DWP) provides guidance, but its practical application in general practice lacks evaluation.

Purpose of the Study:

To evaluate general practitioners' (GPs) training, knowledge, and application of DWP sickness certification guidelines.
Assess the current state of sickness certification practices among GPs.

Main Methods:

A structured questionnaire was distributed to general practitioners (GPs) within a primary care trust (PCT).
The questionnaire assessed GP demographics, training received, and knowledge of sickness certification guidelines.
Case histories and structured questions were used to evaluate current certification practices.

Main Results:

A low awareness and utilization of DWP sickness certification guidelines and website were observed among 113 participating GPs.
63% of GPs reported no specific training in sickness certification, with an average of 4.1 hours for those who did.
Most GPs believed patients and doctors share equal influence over the duration of sickness certification.

Conclusions:

Variable practices highlight the need for enhanced guidance and education for GPs in sickness certification.
Improved monitoring via GP computer systems could benefit patients and employers.
The DWP, medical educators, and PCTs should collaborate to improve sickness certification practices.