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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Sickness certification and the GP: what really happens in practice?

G Wynne-Jones¹, C D Mallen, C J Main

¹Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University, Staffordshire ST5 5BG, UK. g.wynne-jones@cphc.keele.ac.uk

Family Practice

|December 26, 2009

Summary

British General Practitioners (GPs) often issue sickness certificates but lack formal training. While wanting to retain this role, they suggest other healthcare professionals could assist, particularly for mental health and musculoskeletal issues.

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Area of Science:

Occupational Health
General Practice
Healthcare Policy

Background:

General Practitioners (GPs) are responsible for issuing sickness certificates for work absence.
Recent discussions have questioned the current system of sickness certification and who should be involved.
Understanding GPs' practices, training needs, and opinions is crucial for system improvement.

Purpose of the Study:

To investigate and describe the sickness certification practices of General Practitioners (GPs) in the UK.

Main Methods:

A cross-sectional nationwide postal survey was distributed to 2154 UK GPs.
The survey collected data on GPs' perceived certification practices, training received, and views on the certification process.
GPs were also asked for suggestions on improving the sickness certification system.

Main Results:

The adjusted response rate was 42% (n=878).
GPs reported a lack of specific training in sickness certification, despite inquiring about patients' work situations.
GPs indicated a preference for maintaining their role but acknowledged potential for other health professionals to issue some certificates.
Sickness certification was reported more frequently for mental health and musculoskeletal conditions.

Conclusions:

The study identified key challenges GPs face during sickness certification consultations, with a notable lack of training.
GPs expressed a desire for improved training and believe other healthcare professionals could share the responsibility of issuing sickness certificates.
The findings suggest opportunities exist to enhance the sickness certification system through improved training and redefined roles.