Article

Your employment rights when you’re sick

29 January 2025

A sick employee

When you’re feeling ill, work is often the last thing you want to think about. We have, therefore, set out a useful guide to help you understand your rights and obligations during a period of sickness absence so when you do become unwell, you can focus on rest and recovery.

Every employer should have policies and procedures in place covering sickness absence to clarify employees’ rights and explain what they must do to report any illness, and any necessary action throughout their absence. Policies are bespoke to each employer, but there are some general points to bear in mind:

Informing your employer that you’re off sick

Employees have the right to take time off when they’re sick. When taking time off due to illness, the first step is to notify your employer that you are unwell so they can plan for your absence and arrange appropriate cover. You should do this as soon as possible, but no later than the start time of your working day. As a part of your employee rights and responsibilities, you should check your employment contract or the company’s policy on sickness absence as it may specifically confirm when you must report your absence, in which case this should be followed.

You should also review your contract of employment and the company’s policy to establish who you should report your absence to; this is often your line manager but may not be the case for all businesses.

Given that many companies use platforms like WhatsApp and Microsoft Teams for business communications, some employees may assume that they can be used to report sickness. However, it’s common that employers will require an employee to call into work to report their sickness, rather than doing so by email or written message. This is often because ringing in sick at work makes it easier for an employer to ask any questions that help them plan for their absence. Example questions include:

  1. How long do you expect to be unfit for work?
  2. What is the illness or injury? This can help identify whether it relates to a health and safety issue.
  3. How can we best contact you whilst you’re off sick?
  4. Are there any immediate matters or urgent work that needs to be picked up in your absence?

Employees must report their absence in line with the above for the first seven days of sickness absence. This is known as “self-certification”, whereby an employee deems themself unfit for work. This usually requires a brief explanation of why they will be off sick and answering any of the questions above.

If, after seven days (including non-working days), they still consider themselves too unwell to work, they will be required to provide a ‘fit note’ (sometimes referred to as a sick note), which is an official written statement confirming that they aren’t fit for work. These can now be supplied by a range of healthcare professionals like:

  • Doctors
  • Nurses.
  • Physiotherapists.
  • Occupational therapists.
  • Pharmacists (in some cases).

The fit note should start from their eighth day of sickness absence, at the latest, and confirm how long their registered healthcare professional expects them to be off work. A further ft note will need to be obtained if they still deem themselves as unwell to return to work on the expiry of the original fit note.

If a fit note isn’t provided, employers can withhold sick pay on the basis that they’re not satisfied the employee is unwell and unable to attend work. Employers may also have grounds to treat an employee’s absence as unauthorised, without contrary information, instigating its disciplinary procedure.

How does sick pay work?

​The minimum pay an employee is entitled to during sickness absence is statutory sick pay (“SSP”) – provided they are eligible.

The system in place for eligibility and payment of statutory sick pay can appear complex. In summary, it entitles employees absent from work due to incapacity, who meet three qualifying conditions, to receive a weekly statutory sick pay payment. Statutory sick pay is limited to a maximum of 28 weeks. Currently (as of April 2024), the weekly SSP rate is £116.75 however, this is reviewed and often increased every April.

In most circumstances (other than where there are periods of linked sickness absences), SSP is not payable in the first three days of your sickness absence including weekends and bank holidays and these are often referred to as the “waiting days”.

To qualify for SSP, you must:

  1. Be classed as an employee and have done some work for your employer
  2. Earn an average of £123 per week (before deductions)
  3. Have been ill for more than 3 days in a row.

SSP is the minimum your employer must pay to you, and employees may be entitled to higher payments during periods of sickness absence. In line with section 1 Employment Rights Act 1996, it should be confirmed in your contract of employment what your sick pay entitlement is – i.e. whether you will be paid SSP, or an enhanced payment over and above SSP generally known as “company sick pay”. If employees are entitled to company sick pay, this will usually be stated as paid inclusive of SSP, not in addition.

What are your long-term sickness employment rights in the UK?

Long-term sickness is usually classed as having four weeks or longer off sick. The following employment rights apply for both long and short term sick leave:

  • The right to statutory sick pay (SSP) – Employees are entitled to a total of 28 weeks of SSP, provided they meet certain criteria.
  • The right to holiday – Up to four weeks of holiday can be carried over if it was unused due to sickness (unless the employer allows additional holiday to be carried over). Any holiday carried over must be used within 18 months from carry-over.
  • Reasonable adjustments – Employers have a duty of care for their staff and should consider making any reasonable adjustments that may be required while they’re off sick and upon their return.

Frequently asked questions

There is no specific frequency to how often an employer can contact you when you’re off sick. However, it should be kept to a ‘reasonable’ level.

If an employee is off sick for a short amount of time, depending on their reason for absence, contacting them once a day for an update may be deemed ‘reasonable’. However, if they are off for a prolonged period of time for a serious illness, contacting them once a week or less may be seen as more ‘reasonable’.

The purpose for contacting the employee should also be ‘reasonable’. For example, employers should be contacting employees about their wellbeing and how they’re doing, rather than non-urgent, work-related questions.

It is also important to bear in mind the reason for the employee’s sickness. Repeatedly contacting a person who is off sick with work-related stress or anxiety, for example, may only exacerbate their condition. For such cases, it is best to limit contact while still being mindful of the duty of care to the employee’s wellbeing.

If your employment contract confirms entitlement to paid time off for doctor and dentist appointments, your employer must honour this. While there’s no legal requirement, many employers allow such time off as a form of goodwill or require it to be made up, taken unpaid, or as annual leave.

Medical appointments may sometimes be treated as sickness absence. However, antenatal, adoption, and long-term care appointments have statutory rights and separate policies, meaning they should not be included in general medical appointment policies.

There are no specific rules around this, however employees should not feel pressured to respond to work-related calls or messages while off sick. What is ‘reasonable’ once again comes into consideration, and simply because an employee has remote access to their work emails or company systems should not mean that an employer expects them to pick up work queries, or even arrange for these to be picked up by a team member, whilst off sick.

Employees continue to accrue holiday whilst on sickness absence.

If an employee is deemed unfit to work, it doesn’t make them unfit to participate in an internal HR procedure. That being said, if an employee is ill, an employer should act reasonably and try to postpone the process until their return to work or, where this is not possible, explore alternatives with the employee.

Ultimately, an employer cannot delay a disciplinary procedure indefinitely; therefore, the process can continue whilst an employee is absent from work due to illness. However, such conduct by an employer would be deemed more reasonable once they have considered and exhausted reasonable adjustments.

If you work more than one job, it is possible to be deemed unfit for work in one role and not the other. In this instance, it would be best to explain to your employer why you can carry out alternative work or if you have a fit note, request for it to explain this for the employer’s reference.

No, your employer cannot force you to take a holiday because you are sick.

Employees, however, are allowed to choose to take holiday whilst off sick. For employees who are receiving SSP only, the main benefit of taking holiday during sick leave is that it is fully paid at your usual salary or hourly rate rather than at SSP rate. Employers should be mindful, however, that employees keep holiday back for a time they can enjoy it as well, rather than using it all, or a large proportion of it, whilst on sickness absence.

If you are on annual leave and fall ill, you can amend your holiday to sickness absence for the period you are sick. Therefore, if you are on holiday when you become ill, you can effectively switch from annual leave to sickness absence and reclaim your holiday.

To do this, you must ensure you comply with the reporting requirements for a period of sickness absence so that your employer can action this change of circumstance on their records. Otherwise, even if you are unwell while on annual leave, this could reasonably remain recorded as taking part of your holiday entitlement.

As an employee, you are entitled to return to your exact role following a period of sickness absence. However, this may not be the case indefinitely.

For instance, if an employer is considering making redundancies, an employee who is off sick should be included in the consultation process in the same way as their counterparts who remain fit for work. An employee who is off sick can be made redundant assuming that a fair redundancy process has been followed.

Where sickness absence becomes long term, capability procedures may come into place. This usually involves an employer getting a report from either or both an employee’s GP or an Occupational Health professional. They will advise on the nature of the illness or injury, give a medical opinion on fitness for work and advise on timescales for a return to work as well as reasonable adjustments that might support them.

Employers should discuss the findings and recommendations of the report with employees. If there’s no likelihood of an employee being fit to return to work due to ill health or health and safety concerns, an employer may end their employment on capability grounds. However, this is a last resort, and employers should look at how they can keep staff employed, such as reasonable adjustments and/or other roles within the business.

If you need any assistance with sickness leave rights or sickness absence policies, please contact one of our employment lawyers for advice.

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