NHSE SD
Version: 1.0.4 | Published: 1 Dec 2025 | Updated: 2 days ago

eMED3 Fit Notes in Secondary Care

Dataset
CONTACT

Summary

Type:
  • Collections
  • Information standards
Effective From:
10 November 2022
Applies To:
All NHS funded secondary care providers
Impacts On:
This mandatory Information Standard requires secondary care NHS funded healthcare providers in England to electronically issue eMED3 fit notes. Fit notes may be completed by the issuing Registered Medical Practitioner, Nurse, Pharmacist, Physiotherapist, or Occupational therapists.
Conformance Date:
30 November 2023
Topics:
  • Adult
  • Information codes of practice
Care Settings:
  • Hospital
  • Mental health
  • Pharmacy
Alternate Name:
eMED3

Documentation

Associated Media:
Department for Work and Pensions guidance
NHS England guidance
Description:

The Statement of Fitness for Work was introduced in April 2010 across England, Wales and Scotland. In 2012, the Department for Work and Pensions (DWP) enabled General Practices to produce computer-generated fit notes (eMED3). This standard builds on this work and legislation changes that came into force in July 2022 allowing fit notes to be issued electronically by a range of healthcare professionals in secondary care and changes to the Social Security (Medical Evidence) and Statutory Sick Pay (Medical Evidence) (Amendment) Regulations 2010 which means that there will no longer be a requirement to sign the eMED3 form in ink. The fit notes will be digitally certified replacing the current wet signature.

Informing primary care that a fit note has been issued in secondary care is not in scope of this standard but may be introduced in a future release.

Documentation Link:
https://digital.nhs.uk/data-and-information/information-standards/information-standards-and-data-collections-including-extractions/publications-and-notifications/standards-and-collections/dapb4011-emed3-fit-notes-in-secondary-care
Relations:
[object Object]

Origin

Name:
NHSE-SD Data Catalogue
URL:
https://sd-asc-ui-sd.metadata.works
Link:
https://sd-asc-ui-sd.metadata.works/browser/dataset/285233/0