SPM50510 - Medical Referrals -
Incapacity for work
Employer requests second opinion
An employer must make their request for a second opinion in
writing, giving the:
- full name
- address
- date of birth
- sex
- NINO
- name and address of the doctor who signed
the latest doctor's statement
- date the present sickness began
- nature of the illness certified by the
doctor and if possible a copy of all the doctor's statement
submitted by the employee over the last 12 months, making sure the
doctor’s name and address is clear
- employee's occupation and main activities
involved in doing the job
- reason for requesting an opinion
- outcome of any control action already
taken by the employer during the present spell of sickness
- dates of any sick absences of at least 4
days over the past 12 months ( details of sick absences over the
last 2 years if possible)
- cause of incapacity given on each
occasion
- details of the four or more
self-certificates, in cases involving frequent short absences from
work, see
SPM50505.
The employer must also enclose the following signed statement of
consent from his employee:
“Statutory Sick Pay – Consent for Medical
Opinion
Name of Employer
Full Name of Employee
Full address of employee
I agree that you may obtain a medical opinion about my
incapacity for work from HM Revenue &Customs in connection with my entitlement to SSP. I agree
that my doctor may give relevantmedical information to a doctor acting on behalf of HMRC
and agree that, if necessary, a doctoracting on behalf of HMRC may medically examine me and send
a report to HMRC.
I understand that if a decision is made about my
entitlement to SSP and either you or I appealagainst it, this medical report may be used as part of the
evidence at the appeal hearing and willbe available to you in these circumstances, but in no other
circumstances.
Employee’s signature
Date………”
