Sickness certification system in the United Kingdom

doi:10.1136/bmj.328.7437.461-a

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Maybe charging for certificates clarifies matters

Paul V Mackey, general practitioner (paulori@solarwinds.com)

Fort St John, British Columbia, Canada V1J 2B1

EDITOR—It seems sick certificates stimulate the same concerns the world over,1 I have worked in the United Kingdom, Australia, and now in Canada. Sick certificates (and their grander cousin, the “insurance form”) particularly seem to challenge the relationship between patient and doctor because it is often …