Illness
Published 31 August 10
Legally-defined sick
pay
Employers are bound by law to pay Statutory Sick Pay (SSP) to
eligible employees who are off work through illness, unless they
pay wages or contractual sick pay to their employee for the same
days that they would be entitled to SSP if it is more than or equal
to the current rate of SSP.
To be eligible an employee must:
- Notify their employer of their sickness within any contractual
time limits or no later than seven days after the first day of
sickness if no contractual limits exist.
- Have done some work for their employer under their
contract.
- Be sick for four or more days in a row, including weekends and
bank holidays.
- Have average weekly earnings more than or equal to the lower
earnings limit for National Insurance contribution purposes.
- Have earnings on which they are liable to pay Class 1 National
Insurance contributions, or would be liable to pay but for their
age or level of earnings.
Should they fulfil the above criteria, part-time, temporary,
agency or casual workers may be entitled to SSP.
In order to clarify how absence is to be dealt with, it may be
advisable to have an absence policy as part of the employee's
contract of employment or included in a staff or company
handbook. An example policy can be found here.
Statutory Sick Pay:
- Is paid at a daily rate for maximum of 28 weeks in any one
period of incapacity for
work.
- Should be paid on the same day that employees normally receive
their wages for the same period.
- Should be paid once an employee has been sick for at least four
calendar days in a row. SSP is not paid for the first three
'waiting' days.
Within limits an employer can set up their own rules about how
employees inform them when they are sick. Self certification form
SC2 is for employees to certify themselves as sick for the first
seven days of sickness for SSP purposes, after which a Medical
Statement - now known as a 'fit note' - from a GP is required.
Alternatively, employers can use their own self-certificate form
but must always maintain basic records of sickness absence and
amounts of SSP paid.
In addition to SSP, the Agricultural Wages Sick Pay scheme
provides a payment of at least the minimum agricultural wage for
employees unable to work due to any illness including illness
related to pregnancy or maternity, or due to an injury that
occurred while at work or on the way to or from work. Entitlement
to AWSP is based on the employee's length of service with the same
employer, requiring a minimum service of 12 months before
entitlement arises and the amount paid includes any payment of
SSP.
Many of the rules for AWSP are broadly the same as for payment
of SSP, including:
- The requirement for an employee to inform their employer of
their illness.
- The need to provide written evidence in the form of a Medical
Statement where the period of sickness lasts longer than seven
days.
- No payment of AWSP for the first three days of sickness.
The AWSP scheme is covered by the
Agricultural Wages Board Order in detail and advice on SSP is also
available from Business Link.
In Scotland:
In Northern Ireland:
Sick notes & fit notes
Medical Statements, previously known as 'sick notes' were
changed in April 2010, and are now promoted as 'fit notes'. The
main changes include:
- Amending the format and content of the note so that doctors are
able to indicate whether they believe their patient is 'unfit for
work' or 'may be fit for work'.
- Enabling doctors to record further information about their
patient's condition so employers can consider simple changes to aid
employees to return to work earlier by providing advice about the
effects of the patient's health condition and, if appropriate, some
suggestions about the types of adjustment or adaptations that could
be made to help an employee back to work.
Employers are not forced to act on the doctor's advice in a 'may
be fit for work' statement but it could assist an employee's return
to work and reduce sickness absence. If the necessary changes
cannot be made to support an employee's return to work, for sick
pay purposes the statement should be regarded as if the doctor had
advised that the employee is 'not fit for work'. The obligations to
pay statutory sick pay and make reasonable adjustments under the
Disability Discrimination Act 1995 have not changed.
See more information on fit notes
Performance and capability
issues
An employee may be incapable of doing their job to the required
standard due to genuine long-term ill health preventing them from
attending work for a long period of time, or frequent bouts of
short-term sickness resulting in an inability to regularly attend
work.
In this situation employers should:
- Investigate and monitor the employee's absence record.
- Consult the employee regularly to find out about their health
and likelihood of return to work.
- Set time limits on assessing the situation.
- Let the employee know if their job is at risk, and why.
- Obtain medical reports with the employee's permission (letter
templates requesting medical information can be found here)
- Consider adjustments to the employee's job to allow a return to
work.
In these instances dismissal should be a last resort to avoid an
unfair dismissal claim. Fair and proper procedures must be
followed:
- The illness may amount to a disability, and an employer is
obliged under the Disability Discrimination Act 1995 to make
reasonable adjustments so the employee can carry out their job. For
help to define disability got to Business Link.
Government programmes, such as Access to Work, can
help assess the situation and suggest reasonable adjustments. A
grant towards the cost of any adjustments may also be
available.
- Periods of absence due to a pregnancy-related illness must be
discounted when taking action over an employee's absence
record.
- Drug or alcohol addiction should be treated similarly to any
other serious illness. If an employee does not accept that they
have a problem or seek help, however, the issue may become one of
misconduct.
- Changes could be made in order keep an employee with a
long-term illness by reorganising the work, redesigning the job or
altering their hours of work. It is good practice to ask the
employee what reasonable adjustments might help them to remain in
work.