Call for 'fit for work' service

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Dame Carol Black, the National Director for Health and Work said that "urgent and comprehensive" reform was needed.

She made a series of recommendations aimed mainly at the Government and employers to make the UK a healthier country for workers.

Dame Carol said in her 125-page report that a new "fit for work" service should be launched to target people in the early stages of sickness.

The Government was also urged to set up a new consultancy service offering advice and support to smaller business groups.

Trade unions should play an expanded role in efforts to improve the health of workers, said the report.

Dame Carol said the human cost of falling ill was "immeasurable" saying that for most people work was a key factor for their esteem and self worth.

Dame Carol said good work-related health support was disproportionately concentrated among a few large employers.

She also complained that the current sick note system concentrated on what people cannot do instead of what they can. She recommended that doctors' written sick notes should be replaced with an electronic "fit note" saying what people were able to do even if they were ill.

Occupational health should be brought into the mainstream of health care provision, said the report - Working for a Healthier Tomorrow.