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UK Launches Fit-Note Reform Pilot, Cutting Burdens, Supporting Mental Health

5/20/2026

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Story summary
  • Pat McFadden announced the launch of a fit-note reform pilot across the United Kingdom.
  • Victoria Tzortziou Brown warned that the current fit-note system creates administrative burdens that divert time from patient care.
  • John Foster said the existing fit-note process fails employers, workers and the economy.
  • Tom Pollard said the reform must enable supportive conversations and avoid pressuring people with mental health problems into unsuitable work.