Sickness and absence
Sick Leave Policy UK: Complete Employer Guide & Template Rules (2026)
A clear UK sick leave policy sets out how employees report sickness on day one, how Statutory Sick Pay (SSP) and any occupational sick pay work from 6 April 2026, when self-certification ends and a fit note is required after 7 calendar days, and how managers run supportive return-to-work conversations without treating attendance scores as automatic disciplinary triggers.
- SSP payable from first full sick day (from 6 Apr 2026)
- Day one
- Self-certification period before a fit note is needed
- 7 calendar days
- Maximum SSP entitlement per sickness spell or linked series
- 28 weeks
Guidance for England, Scotland and Wales. Northern Ireland employment rules can differ.
What every UK sick leave policy needs to cover
Every UK employer must tell staff in their written statement of employment particulars (on or before day one of employment) what terms and conditions apply to incapacity for work due to sickness or injury, including any provision for sick pay. Putting the full operational rules in a dedicated, accessible sickness absence policy keeps contracts concise while giving managers and staff a single workflow to follow.
In a 5 to 25 person business or school, ambiguity around sickness reporting causes immediate friction: a shift goes uncovered because a text message went to the wrong person, payroll is unsure whether to pay Statutory Sick Pay (SSP) or contractual full pay, or a manager asks for a doctor's note after two days of flu. A well-structured policy answers each question in plain English.
If you want a ready-to-share document tailored to your exact allowance and reporting rules, you can generate one in 60 seconds using our free UK Staff Holiday and Sickness Policy Generator.
| Policy section | Statutory rule or baseline | What your policy should specify |
|---|---|---|
| Notification procedure | Employer can set reasonable reporting deadlines; cannot insist on in-person reporting or a bespoke form to qualify for SSP | Who to contact (and backup contact), deadline (e.g. 1 hour before shift or 9:30am), and acceptable channels (phone call first, or agreed message) |
| Self-certification (days 1 to 7) | Employers cannot demand medical evidence for the first 7 calendar days of sickness (including weekends) | How the employee records their self-certification on return or inside your HR system |
| Fit notes (day 8 onwards) | Statement of Fitness for Work from a GP, hospital doctor, registered nurse, pharmacist, physiotherapist, or occupational therapist | Where to upload or send the fit note, and how 'may be fit for work' adjustments are discussed |
| Sick pay (SSP and company sick pay) | From 6 April 2026, SSP is payable from day 1 of qualifying sickness at 80% of AWE capped at £123.25/week, with no Lower Earnings Limit | Whether the organisation pays statutory SSP only or offers enhanced occupational sick pay (and whether full pay includes SSP) |
| Return-to-work conversations | Acas best practice after every absence to check wellbeing, confirm fitness, and record any adjustments | Who conducts the brief return-to-work check-in and how medical confidentiality is protected |
| Absence review triggers and Equality Act duty | Reasonable adjustments required under Equality Act 2010 for disability-related absence; pregnancy sickness recorded separately | Any illustrative attendance review points (such as spells or Bradford Factor) and a clear rule that disability and pregnancy absences are adjusted |
Source: GOV.UK: Statutory Sick Pay employer guide · GOV.UK: sickness notice and fit notes · Acas: reasonable adjustments at work
Sickness reporting rules: deadlines, channels, and SSP notice
Set out clearly who an employee should contact on their first day of sickness, the normal time deadline (for example, at least one hour before their rostered shift starts, or by 9:00am for office staff), and who to contact if their line manager is unavailable. Ask the employee to share the general nature of their absence, whether it relates to a workplace accident, and when they expect to be well enough to return.
Keep your reporting rules compatible with Statutory Sick Pay law. Under GOV.UK SSP guidance, an employer cannot withhold SSP simply because an employee did not phone in by a specific early-morning deadline if they had a good reason, nor can an employer insist that sickness is reported in person or on a special employer form before SSP is paid. Always include a sensible exception where an employee is hospitalised or incapacitated and a family member notifies you on their behalf.
For absences lasting more than a couple of days, explain how often the employee should keep in touch during the first week before a fit note provides an expected return date. Daily calls for a five-day bout of flu rarely help anyone; agreeing a mid-week check-in is usually far more practical.
- State the primary reporting method (e.g. a phone call to the line manager) and the fallback if the employee cannot speak on the phone.
- Clarify that partial sick days (where an employee starts work and goes home unwell mid-shift) are recorded for duty-of-care and pay purposes, while SSP calculations look at full qualifying days of incapacity.
- Remind managers that the team calendar should only show that the person is absent or unavailable, never the medical reason.
Source: GOV.UK: Statutory Sick Pay employer guide · GOV.UK: sickness notice and fit notes
Statutory Sick Pay (SSP) vs company sick pay in 2026/27
Make sure your policy reflects the April 2026 reforms under the Employment Rights Act 2025. From 6 April 2026, the old three-day waiting period and the £125-per-week Lower Earnings Limit are abolished. Eligible employees qualify for SSP from their first full qualifying working day of sickness, paid at the lower of 80% of their normal average weekly earnings or the flat weekly cap of £123.25 for 2026/27, for up to 28 weeks.
Rather than hard-coding a single tax year's pound figure into a static Word document and forgetting to update it each April, explain the statutory framework and state that SSP is paid at the current statutory rate published on GOV.UK.
If you also provide enhanced company sick pay (occupational sick pay), separate the two rules clearly. State any qualifying service period (such as completing probation), how many days or weeks of full or half pay are available in a rolling 12-month window or leave year, and explicitly confirm that contractual sick pay is inclusive of any SSP due for the same day.
Source: GOV.UK: Statutory Sick Pay employer guide · GOV.UK: when SSP is payable
Self-certification (7 calendar days) and fit notes
By law, employees can self-certify sickness absence for the first 7 calendar days in a row. Calendar days include weekends, bank holidays, and non-working days for part-time staff. For example, if a full-time employee is off sick on Thursday and Friday, feels unwell over Saturday and Sunday, and is still off on Monday, Tuesday, and Wednesday, that is 7 calendar days of absence (even though only 5 working days were missed).
You can only require medical evidence (a Statement of Fitness for Work, or fit note) once the absence lasts more than 7 consecutive calendar days. Fit notes can be issued digitally or on paper by a GP, hospital doctor, registered nurse, pharmacist, physiotherapist, or occupational therapist, and must be free of charge to the employee when issued after day 7.
When a fit note states that an employee 'may be fit for work' with advice such as a phased return, amended duties, altered hours, or workplace adaptations, treat that advice as a constructive prompt. Meet with the employee to discuss whether the adjustments can be accommodated, put the agreed plan in writing with a review date, and treat the employee as still off sick if you cannot reasonably implement the recommended adjustments.
Source: GOV.UK: sickness notice and fit notes · Acas: reasonable adjustments at work
Return-to-work conversations, Bradford Factor, and the Equality Act
A brief, private return-to-work conversation after every spell of sickness is one of the most effective ways to support staff and reduce repeat short-term absence. For a one- or two-day absence, five minutes is enough: welcome the person back, check they are well enough to resume normal duties, complete their self-certification record, and ask if anything at work contributed to the illness.
Many UK employers use attendance review prompts, such as a certain number of absence spells in a rolling 12-month period or an illustrative Bradford Factor score (S × S × D), to make sure managers hold a supportive review conversation consistently across teams. If your policy mentions review points, state clearly that a score or trigger prompts a conversation to understand the context, not an automatic warning.
Under the Equality Act 2010, employers have a legal duty to make reasonable adjustments where a worker has a disability (a physical or mental impairment that has a substantial and long-term adverse effect on normal day-to-day activities). Applying rigid attendance triggers without discounting or adjusting for disability-related absence, or counting pregnancy-related sickness towards attendance warnings, creates serious discrimination risk.
- Keep operational cover visibility separate from restricted medical notes and fit notes.
- Record pregnancy-related sickness separately and never count it towards absence review triggers.
- Where an employee has a long-term health condition or disability, consider adjusting attendance review thresholds as a reasonable adjustment.
- When someone falls ill during pre-booked annual leave and reports it under your sickness procedure with appropriate evidence, allow them to convert the affected days to sickness and rebook the statutory holiday later.
Source: GOV.UK: sickness notice and fit notes · Acas: reasonable adjustments at work
In practice
Worked example: Two-day absence vs ten-day absence with a fit note
Scenario A (short-term self-certified absence): Priya works Monday to Friday and phones her line manager at 8:15am on Tuesday with a migraine. She is off Tuesday and Wednesday and returns on Thursday. Because the absence lasted 2 calendar days, no fit note is required. Under the post-April 2026 SSP rules, Tuesday and Wednesday are both qualifying sick days eligible for SSP (or company sick pay if her contract provides it). On Thursday morning, her manager holds a five-minute return-to-work check-in and logs her self-certification.
Scenario B (absence over 7 calendar days): Callum injures his back and is off from Monday 4 May through Wednesday 13 May (10 calendar days, 8 working days). Callum self-certifies the first 7 calendar days (Monday 4 May to Sunday 10 May) and provides a physiotherapist fit note covering Monday 11 May to Wednesday 13 May that recommends avoiding heavy lifting for two weeks on return. His manager agrees temporary light duties in writing before Callum resumes work on Thursday 14 May.
Common questions
Can an employer ask for a doctor's note for less than 7 days of sickness in the UK?
No. Under UK Statutory Sick Pay regulations and NHS rules, employees can self-certify sickness absence for the first 7 consecutive calendar days (including weekends and non-working days). A GP or healthcare professional fit note can only be required once the absence lasts more than 7 calendar days.
What changed about Statutory Sick Pay (SSP) in the UK from 6 April 2026?
From 6 April 2026, the three waiting days and the Lower Earnings Limit were abolished under the Employment Rights Act 2025. SSP is now payable from the first full qualifying working day of sickness at 80% of the employee's average weekly earnings, capped at £123.25 per week for 2026/27.
Do weekends count towards the 7-day self-certification period?
Yes. The 7-day self-certification period is measured in consecutive calendar days, not working days. Weekends, bank holidays, and a part-time employee's non-working days all count when working out whether an absence has exceeded 7 calendar days.
Can an employer refuse SSP if an employee texts instead of phoning in sick?
While an employer can set a clear company policy asking staff to phone in (and can apply those rules to enhanced company sick pay), GOV.UK guidance states you cannot withhold Statutory Sick Pay simply because an employee did not use a specific form or in-person/phone method, provided they notified you within a reasonable time.
Who can issue a valid fit note in the UK besides a GP?
Since July 2022, a Statement of Fitness for Work (fit note) can be legally certified and issued by GPs, hospital doctors, registered nurses, pharmacists, physiotherapists, and occupational therapists, either digitally or on paper.
What happens if an employee falls sick during booked annual leave?
Under UK case law and Working Time Regulations guidance, an employee who falls ill before or during booked annual leave can ask to convert the affected days to sickness absence and take the statutory holiday at a later date, provided they report the illness promptly in line with your sickness policy and supply medical evidence where required.
How should a sick leave policy handle disability and pregnancy-related absence?
Pregnancy-related sickness must be recorded separately and must never be counted towards attendance review triggers or disciplinary warnings. For employees with a disability under the Equality Act 2010, employers must consider reasonable adjustments, which often includes discounting disability-related absence or adjusting review thresholds.
Your next steps
- Name the primary reporting contact, backup contact, and morning notification window.
- State Statutory Sick Pay (SSP) rules from 6 April 2026 (day-one eligibility, 80% of AWE up to £123.25/week) separately from any enhanced company sick pay.
- Specify that self-certification covers the first 7 calendar days (including weekends) and a fit note is only required from calendar day 8.
- Require a brief, private return-to-work conversation after every absence and store medical notes in restricted records.
- Explicitly exclude pregnancy-related sickness from attendance triggers and build in Equality Act 2010 reasonable adjustments for disability-related absence.
Sources and review
Reviewed against the official guidance below on 18 October 2026. Rates and employment rules can change; use the linked guidance for a decision about an individual case.
- GOV.UK: Statutory Sick Pay employer guide
- GOV.UK: when SSP is payable
- GOV.UK: sickness notice and fit notes
- Acas: reasonable adjustments at work
Contains public sector information licensed under the Open Government Licence v3.0. Crown copyright. This is Leavely's independently written guide.
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