SPM50305 - Medical Referrals - The Referral

Reason for referral

An employee may be asked to attend a medical if their employer asks for access to medical services because:


  • the employee has had frequent short sickness absences
  • the employer disputes that the employee is unfit to do their contracted work due to incapacity or illness
  • the employer does not accept that the employee is off work due to an illness or incapacity related to pregnancy
  • the HMRC caseworker or Nominated Officer needs independent medical advice to help form an opinion or give a section 8 SSCTOFA1999/article 7 SSCTOFO(NI)1999 decision in an SSP or SMP case, or
  • to support the HMRC decision when there is an appeal to the First-tier Tribunal involving disputed incapacity for work or pregnancy related illness.

An employee cannot be forced to attend a medical. However if they refuse to attend or to allow their GP to provide a medical statement, any opinion or decision on their incapacity will be made based on the available medical evidence and their employer’s opinion as to their fitness for work.