Send to a friend

All employees, irrespective of age, are entitled to claim statutory sick pay as long as they have average earnings of at least £120 per week from 6 April 2021, expected to increase to £123 from 6 April 2022. For SSP purposes an 'employee' is classed as someone who attracts liability for Class 1 National Insurance Contributions, or would do so if his or her income was high enough.

Eligibility begins on the first day of employment - although the employee must have actually started work - on a contract that is to last for at least three months.

Married women and widows who pay reduced NICs may be eligible for SSP if they meet the qualifying conditions.


  • All employees earning at least the National Insurance Lower Earnings Limit, which is £120 per week (expected to increase to £123 from 6 April 2022) gross are eligible for SSP for up to a maximum of 28 weeks. 'Employees' are defined as those liable for Class 1 NICs or those who would be liable if their income was high enough
  • For the tax year beginning 6 April 2021, statutory sick pay rate is £96.35 per week. For the tax year beginning 6 April 2022, statutory sick pay rate is expected to increase to £99.35 per week.  (see our Statutory rates’ page for historic rates).
  • Employers can opt out of SSP if they operate their own scheme (contractual sick pay). Payments must be at least equal to what would be received under the statutory provisions.

  • Details of the contractual sick pay scheme must be included in employees' written particulars of employment or employees can be referred to other sources of information such as company handbooks.

  • Employers operating their own arrangements must keep records of qualifying periods of sickness.

  • Decisions on long-term ill-health absentees will have to comply with the Equality Act 2010. 
  • Employers are liable for the payment of SSP. Any payments are subject to PAYE, National Insurance and any other usual deductions.

  • Generally, SSP is paid only from the fourth consecutive qualifying day of sickness. Absence from work from this day is known as a period of incapacity (PIW). A PIW is the period of time during which an employee is incapable of work. Rules are different for Covid-related sickness (including self-isolation); it will be paid from the first day of absence where a PIW of 4 days has been created.

  • All days including weekends, holidays and days not normally worked are taken into account in calculating the PIW. A PIW which occurs within 56 days of a previous PIW will be linked, counting as one period of sickness.

  • Employees with at least one month's continuous employment who are suspended from work on medical grounds are entitled to remuneration for up to a maximum of 26 weeks.

  • Special rules apply to pregnant employees suspended from work on medical grounds.

Recent developments

Sickness certification rules temporarily changed

It was announced on 17 December 2021 that between 10 December 2021 and 26 January 2022 employers should not ask employees for proof of sickness until the absence has lasted for 28 days or more.

It was also been made clear that SSP cannot be withheld due to late medical evidence.

This change is in light of the exceptional pressure placed on GPs in managing the government booster rollout.

This is a significant change from the usual requirement that requires a medical certificate to be provided after 7 days of absence, and will be difficult to manage for many employers.

Employers should be careful to make it clear to staff that this is a temporary change only, and not a permanent change to the sickness absence notification procedure.

Whilst employers cannot ask for proof of sickness for non-Covid related absences, it remains possible to ask for proof of a positive test or isolation request for those absences that are Covid related.

The SSP Rebate Scheme returns

This scheme was originally introduced in May 2020 to help small and medium sized employers (those with fewer than 250 employees) fund Covid related sickness absences; it reimbursed eligible employers for their Covid related SSP payments to a maximum of two weeks per person. It was closed on 30 September 2021 but the Government re-opened it from 21 December 2021.

Claims can now be made under the scheme via the government website Claims may only be made in relation to covid-related sickness absence from 21 December 2021; this means therefore that no rebate is possible for SSP paid for covid-related sickness between 1 October 2021 and 20 December 2021. If a covid-related absence started prior to 21 December 2021 but continued after it, only the payments made from 21 December 2021 can be claimed for. 


Employers can choose to opt out of the statutory sick pay (SSP) scheme but only if they operate their own arrangement, such as continuation of wages or payment of occupational sick pay at or above the SSP rate. Details of the organisation's sickness provisions should be included in employees' written particulars of employment or in a company handbook.
The contract must specify the period of time for which contractual sick pay will be paid. Employers may choose to attach a qualifying clause for eligibility. The written statement should also include details of how an employee should give notification of their sickness, and to whom that notice should be given.
Medical evidence will normally be required to determine entitlement. Self-certification normally operates for the first seven days of incapacity, after which GP's certificates are usually required. The written statement of particulars could also state the company policy on medical examinations and what might happen should the employee be unable to return to his or her previous role after a period of sickness absence.
Employers must not treat part-time workers less favourably than comparable full-time employees. Equal treatment must extend to the calculation and duration of sick pay and any qualifying period.
Non-payment of SSP is covered by the Employment Rights Act 1996 and, therefore, may be an unlawful deduction from wages.
Employers operating their own sick pay schemes have discretion to decide what to offer and to whom, subject to terms being at least as favourable as SSP. In practice, contractual sick pay may vary from job to job and employers must tread carefully to avoid falling foul of discrimination and equality legislation.
Employees who satisfy the qualifying conditions for SSP can claim statutory payment for any periods of sickness absence which are not covered by the in-house scheme, or where the scheme pays less than the SSP rate.
Basic records, including the amounts of sick pay paid, will still need to be kept for HMRC purposes.
Where an employee has been absent for 28 weeks, the employer must issue form SSP1 or an in-house computerised equivalent, enabling the employee to claim Employment and Support Allowance (previously known as Incapacity Benefit).
As part of a contractual sick pay scheme, permanent health insurance (PHI) may be provided to pay employees who are unable to work as a result of long-term sickness or injury, and who have exhausted their occupational sick pay entitlements.
Under a PHI scheme, employees with long-term incapacity generally receive a proportion of their salary. The duration of PHI payments will depend on whether or not the employee is likely to return to work, and when.

Employers are liable for the payment of statutory sick pay (SSP) to eligible employees. The current rate is £96.35 per week (from 6 April 2021 - see our ‘Statutory rates’ page for historic rates) and is expected to increase to £99.35 from 6 April 2022. SSP is calculated daily by dividing the weekly rate by the number of qualifying days.

From 13 March 2020, all those who are advised to self-isolate due to the coronavirus outbreak are entitled to be paid statutory sick pay. Please refer to our section on managing coronavirus at work for more details. 

A period of incapacity for work (PIW) begins when an employee has been incapable of work for at least four consecutive 'qualifying days'. Qualifying days are those days the employee is normally contracted to work, or an agreed working pattern.
Employees are entitled to up to 28 weeks' SSP in any PIW, but only in respect of qualifying days. For the purposes of calculating the PIW, weekends, holidays and days not normally worked are included.
SSP is not payable for the first three qualifying days of sickness absence (known as 'waiting days').
Any further period of sickness absence of at least four days within 56 days of the first is treated as part of the same PIW. Employers keeping manual records should highlight the 56th day after the end of a PIW to help them determine whether one PIW and subsequent periods of sickness absence are linked.
SSP Regulations require certification of sickness from the fourth day of incapacity. Self-certification is allowable for the first seven days (HMRC produces a form for employees (SC2), although its use is optional).
An SSP1 form must be completed if an employee is sick for four or more days and is not entitled to SSP from his or her employer, or where the entitlement to SSP has been exhausted but he or she is still sick (normally 28 weeks).
Employees not entitled to SSP include:
  • individuals who have already received their full 28-week limit from a previous employer
  • employees whose average weekly earnings over the relevant period are below the current lower level for National Insurance purposes - £120 per week (from 6 April 2021, expected to increase to £123 from 6 April 2022)
  • those involved in a trade dispute, such as a strike or lockout
  • employees working outside the UK and for whom the employer is not liable to pay Class 1 NICs
  • pregnant women in the following situations:
  1. where a woman is entitled to receive Statutory Maternity Pay (SMP) or Maternity Allowance (MA) she is not eligible to also receive SSP for the 39 weeks during which SMP or MA is payable
  2. a woman who is not entitled to SMP or MA (and who is not already receiving SSP) cannot be paid SSP for 18 weeks from the earlier of the following two dates:
  • the beginning of the week in which her baby is born
  • the beginning of the week in which she is off work because of pregnancy-related sickness (if this is within four weeks of her baby being due).
An SSP2 (or SSP record sheet) is available from HMRC (see link above) to help employers record dates of relevant sickness, PIWs and all SSP payments. Employees whose employment terminates must be issued with form SSP1 (L) if they have received SSP in the last eight weeks of employment.

Eligible employers were previously able to recover some of the SSP paid out to employees under the Percentage Threshold Scheme. To determine eligibility, the following process was followed:

1. Deduct any contracted-out NIC rebate for that month from the total gross Class 1 NIC liability for the same period and multiply by 13 per cent, rounding down any fractions of a penny.

2. If the total SSP paid out for the month was greater than the figure in step 1, the employer could claim back the difference between the two amounts.

The calculation had to be repeated every month. Employers who paid their tax and NICs quarterly could claim any SSP rebate over the same period, although they still had to do a monthly calculation. Any recovered SSP was recorded in the Employer's Annual Tax Return (currently form P14).

Note that the Percentage Threshold Scheme was abolished on the 6 April 2014. Employers record-keeping requirements associated with the scheme were also abolished on this date. Employers had until the end of the tax year 2015-16 to reclaim SSP paid before the end of the tax year 2013-14. Employers will still have to maintain SSP records for PAYE purposes, and must still be able to produce records showing they have met their SSP obligations if required to do so by HMRC.


Each case that involves terminating employment on ill-health must be assessed on its own circumstances and should balance the needs of the organisation against those of the long-term absentee. Ill-health retirement should be contemplated only after redeployment or some other adjustment has been considered and medical opinion confirms there is little possibility of the employee returning to work. Both parties need to mutually agree the retirement option, however.
Employees with at least one month's continuous employment who are suspended from work on medical grounds are entitled to remuneration for up to 26 weeks.
Suspension must be related to either a requirement imposed by specific health and safety provisions, such as the legislation governing exposure to hazardous substances and processes, or a recommendation contained in a Code of Practice approved under Section 16 of the Health and Safety at Work Act.
This right refers to situations in which the employer's business is affected by specific health and safety legislation and has nothing to do with the individual employees' health. No payment is made where employees refuse a reasonable request to perform alternative duties.
Medical suspension pay is calculated based on the employee's normal week's pay. The 'calculation date' for these purposes is the day before the suspension began. Where actual pay is less than a normal week's pay, the employer has to make up the difference.
Special rules govern pregnant employees (or those who have given birth within the past six months or are breast-feeding) whose health (or whose baby's health) might be at risk as a result of factors in the workplace. An example of this is where a woman develops an allergy to a substance she works with.
Employers must limit this risk by adjusting the employee's working conditions or hours, offer her other suitable work or suspend her until the risk has been removed.
Provided the woman has been in her job for at least one month and has not unreasonably refused suitable alternative work, she is entitled to be paid for up to 26 weeks during the suspension. The statutory right is to receive normal wages or salary throughout the suspension but the employment contract might contain more favourable terms.
Employees who fall sick directly before, or during, a period of booked holiday leave are entitled, on request, to take the period booked as holiday leave as sickness absence and then rebook their holiday leave at a later date. If it is not possible to reschedule the holiday leave during the same holiday year, the employer must allow it to be carried forward into the next holiday year. The amount of holiday leave carried forward is limited to the 20 days allowed by the European Working Time Directive.
Employees are required to notify the employer of their sickness absence following the usual sickness absence procedures.

Introduced on 8 September 2015, the Fit for Work scheme enabled employers to refer their employees directly to the government's Fit for Work referral service, without having to do this via the employee's GP. Further to government announcements at the end of 2017, this service was removed in 2018. No new referrals may now be made to the scheme, although any employee who was referred before 15 December 2017 still received the full service available. The information below relates only to those employees referred before this date.

The employee had to have been, or was likely to be, off work for four weeks or more. Employees who consented to being referred to the service were invited for a telephone assessment by a Fit for Work occupational health professional. The assessment aimed to identify all potential obstacles preventing the employee from returning to work (including health, work and personal factors). Where appropriate, a ‘return to work plan’ was agreed between the advisor and employee. The plan could be used as evidence of sickness absence in the same way as a GP's 'fit note'.


Following recommendations made in the 2017 Taylor Review, the government released a consultation looking at making changes to the current statutory sick pay (SSP) scheme.

These changes included removing the need for individuals to achieve the lower earnings level (currently set at £120 per week) before they became eligible for SSP and simplifying rules around qualifying days. To help provide more employees with support, the consultation was asking whether a right to request work(place) modification for those not covered by the duty to make reasonable adjustments under the Equality Act 2010 would help encourage employers to take action to return employees to work.

The consultation closed in October 2019.

On 21 July 2021, the government made it clear that, largely due to the response to Covid, they would not be implementing any of the proposed major reforms to SSP.


The UK Government initially launched the Coronavirus Statutory Sick Pay Rebate Scheme (SSPRS) in March 2020  to help employers with recovery from the pandemic. This “old” scheme ended on 30 September 2021. The portal for submitting claims under the old scheme closed on 31 December 2021 for any absences up to 30 September 2021.

Employers will not be able to claim for the period from 1 October – 20 December 2021 inclusive as no scheme was in operation during this time. 

The reintroduction of the SSPRS was announced by Rishi Sunak on 21 December 2021 as part of a £1bn support package for businesses impacted by the Omicron variant of Covid-19.

The re-opening of the Scheme covers Covid-related sickness absences occurring from 21 December 2021. Should a covid-related absence have started before 21 December 2021, only payments made for absence from 21 December 2021 may be claimed for. 

The portal for reclaiming has now been launched and is available on the government website 

Who can use the rebate scheme? 

Businesses eligible to use the Scheme are those which:

  • are UK-based
  • had fewer than 250 employees as of 30 November 2021
  • had a PAYE payroll system as of 30 November 2021
  • have already paid their employees’ Covid-related SSP

Connected companies and charities can also use the scheme if their total combined number of PAYE employees was fewer than 250 on the 30 November 2021.

Specific eligibility criteria apply to the payment of SSP, including minimum average earnings of £120 per week (increasing to £123 on 6 April 2022) and the requirement to be sick/self-isolating for a minimum period of 4 calendar days (the qualifying days).

Under the previous SSP Rebate Scheme, the waiting days were suspended for Covid-related absences to enable employers to pay SSP from the first qualifying day of sickness.  The government guidance has confirmed this will continue to be the case under the reopened scheme. 

The Scheme will only cover SSP paid for absences due to coronavirus. For example, for employees who tested positive for Covid or were instructed to self-isolate. It does not allow recovery for any SSP paid for non-coronavirus related absence. For example, most people are asked to self-isolate for 3 days before surgery. In this case, the day of surgery will be the 4th day of their period of incapacity for work. You cannot claim repayment of SSP for the day of surgery or any other days when the absence is not due to coronavirus, but it is possible to claim for the 3 self-isolating days. 

The Scheme covers all types of employment contracts, including:

  • full-time
  • part-time
  • employees on agency contracts
  • flexible or zero-hour contracts
  • fixed term contracts (until the date their contract ends).

A rebate can be claimed for both existing and former employees, but claims cannot be made for more employees than were on the PAYE payroll on 30 November 2021. 

How much can be claimed back? 

The maximum to be claimed is two weeks’ SSP, from the first qualifying day, per employee. You can make a claim under the new scheme for an employee who was previously claimed for under the old scheme. The two-week time limit essentially ‘resets’ in this regard.

You can make more than one claim per employee, provided that claims are not for longer than two weeks in total.

If you pay contractual sick pay in excess of the SSP rate, you will only be able to recover up to the weekly rate of SSP paid. The weekly rate of SSP, since April 2021, is £96.35. From 6 April 2022, this is increasing to £99.35 per week.

The portal is now live, and you can backdate claims for any Covid-related absence that fell on or after 21 December 2021.

How to make a claim

An online reclaims portal is now open which can be accessed through the Government website.

To use the service, you will need the Government Gateway user ID you received when you registered for PAYE Online.

Agents who are authorised to do PAYE online for you will be able to make a claim on your behalf.

You must have paid the sick pay to your employees before you can claim it back.

What information is needed to make a claim? 

Under the old rebate scheme, the following information was needed. It is expected this will remain largely the same for the re-opened scheme in January 2022:

  • the number of employees you are claiming for
  • start and end dates of your claim period
  • the total amount of sick pay you’re claiming back – this should not exceed 2 weeks of the set SSP rate
  • your Government Gateway user ID and password that you got when you registered for PAYE Online
  • your employer PAYE reference number
  • the contact name and phone number of someone who can be contacted with queries
  • your UK bank or building society account details (only provide account details where a Bacs payment can be accepted) including:
    • bank or building society account number (and roll number if it has one)
    • sort code
    • name on the account
    • your address linked to your bank or building society account

To complete the claim you’ll need the start and end dates of the claim period which is the:

  • start date of the earliest pay period you’re claiming for - if the pay period started before 21 December 2021 you’ll need to use 21 December 2021 as the start date
  • end date of the most recent pay period you’re claiming for - this must be on or before the date you make your claim (because you can only claim for SSP paid in arrears)

Employees do not have to give you a doctor’s fit note for you to make a claim. But you can ask them to give you:

  • an isolation note from NHS 111 if they are self-isolating and cannot work because of coronavirus
  • notification that they must self-isolate from NHS Test and Trace (England)/NHS Test and Protect (Scotland)/NHS Wales Test, Trace, Protect Service
  • official email or text confirmation from NHS Test and Trace (or equivalent service) of a positive Covid test result – this can be following a PCR test or self-upload of a lateral flow test.

The Scheme allows you to claim for multiple employees across multiple pay periods at the same time.

Will HMRC conduct any checks on the claim? 

HMRC will check claims and take appropriate action to withhold or recover payments found to be dishonest or inaccurate. Where employers knowingly and deliberately provide false or misleading information to benefit from the claim, they will face penalties of up to £3000.

How long will it take to receive the money? 

You will receive the rebate within six working days. HMRC asks that you do not contact them until more than 10 working days has passed since you made the claim if you have not received the rebate nor heard from HMRC about the claim.

What records should be kept? 

You must keep the following records for three years after the date you receive the payment for your claim:

  • the dates the employee was off sick
  • which of those dates were qualifying days
  • the reason they said they were off work, whether this be that they had symptoms, someone they lived with had symptoms, they returned a positive Covid test or were instructed to self-isolate
  • the employee’s National Insurance number.

On 28 May 2020, the NHS test and trace service was launched in England and Scotland. The service:

  • provides testing for anyone who has symptoms of coronavirus to find out if they have the virus
  • gets in touch with anyone who has had a positive test result to help them share information about any close recent contacts they have had
  • alerts those contacts, where necessary, and notify them they need to self-isolate to help stop the spread of the virus.  

The Government states that, by following instructions to self-isolate, people who have had close recent contact with someone with coronavirus will be protecting their family, friends, colleagues and other people around them, and will play a direct role in stopping the spread of the virus.

When someone first develops symptoms and orders a test, they are encouraged to alert the people that they have had close contact with in the 48 hours before symptoms started. If any of those close contacts are colleagues, the person 
who has developed symptoms may wish to (but is not obliged to) ask their employer to alert those colleagues. At that stage, those close contacts are not advised to self-isolate, but they:  

  • must avoid individuals who are at high risk of contracting coronavirus, for example, because they have pre-existing medical conditions, such as respiratory issues
  • must take extra care in practising social distancing and good hygiene and in watching out for symptoms.  

‘Close contact’ means:   

  • having face-to-face contact with someone (less than 1 metre away)
  • spending more than 15 minutes within 2 metres of someone
  • travelling in a car or other small vehicle with someone (even on a short journey) or close to them on a plane.  

Those who test positive will be asked, via the service, whether they have had any such close contact in the 48 hours before they developed symptoms and the time since they developed symptoms.  

Those who are contacted via the service will need to begin self-isolation for 10 days from their last contact with the person who has tested positive even if they do not feel unwell, unless they are under 18, fully vaccinated or medical exempt from vaccination, as current guidance states isolation is not required.

The practical effect of this service is that many more individuals have had to self-isolate. In addition, large parts of a workforce, or an entire workforce, might receive an alert telling them they should self-isolate because one member of the workforce has tested positive for coronavirus. Employers can help to combat this by ensuring that employees work from home where possible, or implementing strict social distancing and hygiene measures in the workplace where home working is not possible.  
The Government has put together guidance for employers, which stresses that their role in the system is vital by:

  • making their workplaces as safe as possible
  • encouraging workers to heed any notifications to self-isolate and supporting them when in isolation.  

It acknowledges that, although this may seem disruptive for businesses, it is less disruptive than an outbreak of coronavirus in the workplace will be, and far less disruptive than periods in lockdown.  

Employers should support employees who need to self-isolate and must not ask them to attend the workplace, or face a fixed penalty notice up to £10,000. If an employee needs to self-isolate, employers should consider whether they are able to work from home. This might include finding alternative work that can be completed at home during the period of self-isolation.  

Employees who cannot work from home will be entitled to receive SSP in line with the guidance on self-isolation given above. Alternatively, the employer may agree that a period of annual leave is to be taken so that full pay is maintained, or another form of paid leave that is available to the employee.  

The NHS test and trace service will provide a notification that can be used as evidence that someone has been told to self-isolate. This notification will be needed to make a claim to the SSP Rebate Scheme.

This information was updated on 28 September 2021.

In response to the actual and potential problems caused by the coronavirus (officially known as COVID-19 and identified by the WHO in March 2020 as a “pandemic”), the Government has taken a number of emergency measures in respect of SSP, particularly for those who are forced to stay away from work — known as “self-isolating”.

The immediate response was:

  • on 4 March 2020, the Prime Minister announced that employees will receive SSP from Day One, rather than Day Four under the present system; the effect is that anyone who is absent on sick leave with coronavirus, or is under Government guidance to self-isolate, is entitled to receive SSP from Day One where their first day of incapacity was on or after 13 March 2020.
  • the Health Secretary stated that employees and workers who self-isolate for health reasons will count as being off sick from Day One.

It is important to remember that the requirement to form a PIW before SSP is payable has not been removed. This means that a period of sickness, or self-isolation, must still last for at least 4 calendar days. Once this criterion is met, SSP will be payable from the first day of absence.

On 11 March 2020, as part of the Budget, the Chancellor announced a further series of extraordinary measures to help businesses and individuals affected by the virus. They include:

  • SSP will be available to all eligible (those above the lower earnings limit, which is £120 per week for 2020/21) workers and employees if they must self-isolate because of the virus, even if they do not display symptoms of coronavirus; the objective of this change is to encourage self-isolation and minimise the risks to public health arising from coronavirus disease — regulations to implement this change came into force on 17 March 2020
  • SSP will be temporarily extended to cover those caring for people within the same household who display coronavirus symptoms and have been told to self-isolate
  • the cost of providing SSP to any worker or employee off work for up to 14 days because of the virus in businesses with fewer than 250 employees will be met in full by the Government — estimated to be over £2 million
  • to ease the pressure on GPs, coronavirus sick notes will be given out over the phone by the NHS 111 Helpline (these will be valid as evidence of sickness absence); employers have been asked to exercise their discretion not to demand a GP fit note.

In response to the actual and potential problems caused by the coronavirus (officially known as COVID-19 and identified by the WHO in March 2020 as a “pandemic”), the Government took a number of emergency measures in respect of SSP, particularly for those who are forced to stay away from work — known as “self-isolating”.

As part of emergency legislation introduced by the Government in response to coronavirus, the entitlement to statutory sick pay (SSP) was extended. Originally designed for only those who were unfit for work through sickness or injury, SSP is now payable to those who:

  • are self-isolating with coronavirus symptoms though are not necessarily unfit for work
  • are self-isolating because someone they live with has symptoms or coronavirus (where they are under 18, fully vaccinated or medical exempt from vaccination, current guidance states isolation is not required)
  • have been in close recent contact with someone who has tested positive and received a notification to self-isolate from NHS test and trace (where they are under 18, fully vaccinated or medical exempt from vaccination, current guidance states isolation is not required)
  • have been advised by a registered medical professional that they will need to have an operation and that they will need to self-isolate for a period of up to 14 days prior to going into hospital.

A Coronavirus Statutory Sick Pay Rebate Scheme was introduced which would allow certain businesses to claim back SSP paid in certain circumstances. This scheme finished on 30 September 2021 but was re-ignited from 21 December 2021. See 'The Coronavirus Statutory Sick Pay Rebate Scheme' above for more information.

Where isolation is required after foreign travel, no SSP is due.

Further measures introduced were:

  • on 4 March 2020, the Prime Minister announced that employees will receive SSP from Day One, rather than Day Four under the present system; the effect is that anyone who is absent on sick leave with coronavirus, or is under Government guidance to self-isolate, is entitled to receive SSP from Day One where their first day of incapacity was on or after 13 March 2020.
  • the Health Secretary stated that employees and workers who self-isolate for health reasons will count as being off sick from Day One.

It is important to remember that the requirement to form a PIW before SSP is payable has not been removed. This means that a period of sickness, or self-isolation, must still last for at least 4 calendar days. Once this criterion is met, SSP will be payable from the first day of absence.                                                                                                                                                                                                                                                                                                                         


Long-Covid is understood to be a condition suffered by individuals who have recovered from Covid-19 but are still showing certain symptoms as a result that are affecting their daily lives. Currently, the NHS website lists the following symptoms:

  • extreme tiredness (fatigue)
  • shortness of breath
  • chest pain or tightness
  • problems with memory and concentration ("brain fog")
  • difficulty sleeping (insomnia)
  • heart palpitations
  • dizziness
  • pins and needles
  • joint pain
  • depression and anxiety
  • tinnitus, earaches
  • feeling sick, diarrhoea, stomach aches, loss of appetite
  • a high temperature, cough, headaches, sore throat, changes to sense of smell or taste
  • rashes

Whilst it is debatable as to whether long-Covid could be considered a disability, recent guidance from Acas advises organisations to respond to it as though it is when responding to sickness absence. Please click here for details.



Where the sickness absence lasts for 28 days or less, organisations cannot require certification from a medical professional, unless they pay privately and the employee consents to examination. 

If the period of sickness started before 10 December 2021, employees do not have to provide a fit note if they are off work for 7 days or less.

When they return to work, employees can be asked them to confirm they’ve been off sick. This is called ‘self-certification’. The organisation should specify how  the employee should do this. They might need to fill in a form or send details of their sick leave by email.

Certification by a medical professional

Where an employee has been away from work sick for more than 28 days in a row they must give their employer a doctor’s ‘fit note’ (sometimes called a ‘sick note’). This includes non-working days, such as weekends and bank holidays.

Ordinarily, this requirement applies after seven calendar days, and if they started their sick leave before 10 December 2021, this is still the case. However, the self-certification sickness period was extended to 28 days on 10 December 2021 in order to relieve some of the workload from GPs, who are faced with unprecedented pressure as a result of the pandemic. 

If employees are self-isolating and cannot work because of Covid they can get an ‘isolation note’ online from NHS 111. They do not have to see a GP or go to hospital. 

If they are off work with any other illness, they can get a fit note from a GP or hospital doctor. Organisations can also choose to accept a similar document provided by a physiotherapist, podiatrist or occupational therapist instead. This is called an Allied Health Professional (AHP) Health and Work Report.

Fit notes are free if the employee has been ill for more than 28 days when they ask for one. The doctor might charge a fee if they ask for the fit note earlier.

If the employee’s illness started before 10 December 2021, they can get a free fit note after 7 days.

The fit note will say the employee is either ‘not fit for work’ or ‘may be fit for work’.

If it says the employee ‘may be fit for work’, employers should discuss any changes that might help the employee return to work (for example, different hours or tasks). The employee must be treated as ‘not fit for work’ if there’s no agreement on these changes.

Employers can take a copy of the fit note. The employee should keep the original.


We operate a discretionary sick pay scheme. In the contract of employment the section relating to sick pay reads:
'There is no company sick pay scheme. If you are absent due to sickness any payment will be at the discretion of the management. Statutory Sick Pay will be paid in accordance with the government guidelines.'
In reality, what happens is that occasional days of sickness are not paid. However, if an employee has a major illness or operation they usually receive pay for the first three months. In the past five years I cannot find an example of anyone who has not received this payment for three months.
We have an employee who has been involved in a car accident and has had to have major surgery on a bad break of his leg. He is likely to be absent for around five months. However, the Managing Director had told this employee that he drove like a maniac on a number of occasions and had warned him that he would end up in an accident if he did not drive more carefully. Hence, the Managing Director is saying that no sick pay will be paid (the accident did not happen in work time and the employee was not driving a company vehicle). Is there any problem with refusing to pay sick pay?
Although the contract states that sick pay is discretionary, it appears that an approach to paying sick pay has developed through custom and practice. This means that it appears that an implied contractual term that sick pay will be paid for three months following a major illness or operation has developed.
Sagar v Ridehalgh and Son Ltd [1931] is a rather old case, but it explains the point. In this case the employee was a weaver. Deductions from wages were made if work did not meet the required quality standards. Sagar challenged these deductions, but was unsuccessful because the employer was able to demonstrate that the deductions had always been made in this industry.
A contract of employment cannot be varied without agreement. If this term has become part of the contract through custom and practice then the sick pay will have to be paid, unless agreement is reached with the employee not to pay the amount.

I run a small hotel. The housekeeping/cleaning staff are all employed on zero hours contracts and work different hours each week depending on how busy the hotel is. We pay £7 per hour and people tend to work between 6 and 30 hours per week. One of the cleaning staff has been off sick for the last two shifts, do I need to pay her sick pay?

The test here is not the number of hours worked, or the type of contract, but the earnings. At the rates you quote, an employee might earn between £42 and £210 per week. The point at which SSP must be paid is if an employee earns £116 or more per week, which is the point where they start to pay National Insurance. To calculate if the person is eligible, you need to look at their average earnings for the 8 weeks prior to the first day of sickness - if this exceeds £116 per week then they will be eligible for SSP. One other thing you need to do is to designate the employees’ qualifying days in a week – for example if you can call them in over any of the 7 days then this should be the period designated.

Our company services X ray equipment in hospitals. One of our technicians has just told us that she is pregnant and should not be working with such machinery. We don’t have any other work for her to do but do we need to find another role for her?

All employers must carry out a risk assessment for pregnant employees. If the result of this assessment is that there are aspects of their role that they cannot do for health reasons then the employer should attempt to redefine the role, for example by removing the risk areas, changing hours, or redeploying temporarily. If none of these are possible, then the employer may need to suspend the employee on the grounds of pregnancy. If she has been working for the employer for more than one month, and has not unreasonably refused alternative work, then she is entitled to full pay for 26 weeks (or until she starts maternity leave if sooner). The same rules also apply to women who have given birth within the last 6 months or who are still breast feeding.