Get help now Make a donation

Mind reacts to DWP fit notes reform

Wednesday, 20 May 2026 Mind

The Department for Work and Pensions has today announced proposals to reform the Fit Note system in England, including four trials aimed at providing better, more targeted support for people who are unwell.

The trials, which will last up to 12 months, include two areas (Birmingham and Coventry) where fit notes will be issued with follow up appointments for support. Two locations (Cornwall and Lancashire) will not offer fit notes at all – GPs in those areas will refer directly to support services instead.

Responding to the announcement, Tom Pollard, Head of Policy, Public Affairs and Campaigns at Mind, said: “These pilots could mark the start of real improvements to the fit note system. When people seek a fit note because of poor mental health, it rarely leads to them being offered the wider support they need. Giving people the chance to have detailed conversations about the challenges they face and the support they need is a positive step.

“However, it’s vitally important that this is a supportive and collaborative process. People with mental health problems must not feel pressured to work when they don’t feel able, or to return to workplaces that are not supporting their mental health. For too long, people with mental health problems have been forced to engage with a benefits system that can be punitive and makes them feel as though they have to ‘prove’ they need support. Trust will need to be rebuilt if these reforms are going to work. 

“In addition, employers have a responsibility to support their staff’s wellbeing, and a key part of these proposed reforms is giving employers better support to help people stay in work. We need to see a joined-up approach where workplaces, health services and government all play a role in delivering compassionate and person-centred reforms.” 

Ways to get involved

Back To Top arrow_upward