Adjustments, phased return, or fitness for a specific role — written so HR can act on it.
Unhurried care from a GMC-registered GP
6am to 10pm, seven days a week
Prescriptions, sick notes and referral letters included
Your NHS records in the room, with your consent
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
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Registered with the Care Quality Commission
Work-related medical letters sit in an awkward place. Your employer wants documentation, your GP practice may not offer it, and the wording has to be precise enough for HR to act on without disclosing more about your health than you want disclosed.
We provide letters after a proper consultation, written to describe function and limitation rather than diagnosis wherever possible — which is what employers actually need, and what keeps your private medical information private.
The employer's letter, the form, or the HR email. Requests vary widely and matching theirs is more useful than a generic letter.
We cover your symptoms, your treatment, and — crucially — what your job actually involves. A recommendation written without knowing the physical and cognitive demands of the role is not worth much.
We agree together what the letter says. It is your health information, and you decide how much of it is disclosed.
Within 10 minutes, as a PDF you can forward directly.
More detail than you expect, and it is the part that makes the letter useful. A recommendation written without knowing what the role actually involves is worth very little to an employer.
Be specific: hours and shift pattern, how much of the day is standing, what you lift and how often, whether you drive, screen time, working at height or in confined spaces, how much of the job is dealing with the public, and what deadlines look like.
"I work in an office" and "I work in a warehouse" produce entirely different letters for the same condition.
This is agreed during the consultation rather than presented afterwards. The letter is normally written around function and limitation rather than diagnosis — what you can and cannot currently do, and for how long.
That is usually all an employer needs, and all they are entitled to. Say if there is something you would rather was not named.
The most effective letters recommend something specific and time-limited rather than describing a problem. Employers act on concrete requests far more readily than on general statements.
Worth considering in advance: reduced or altered hours, a phased return over a defined number of weeks, avoiding one particular task, working from home for a period, more frequent breaks, a change of equipment, or a temporary move away from safety-critical duties.
This is a GP letter, and it is not the same thing as a formal occupational health assessment. OH is carried out by a clinician with occupational medicine training, usually commissioned by the employer, and often includes reviewing the role and the workplace risk assessment.
Where an employer has specifically asked for occupational health, a GP letter may not satisfy them. Ask them which they want before booking — it is a five-minute email that can save you a wasted appointment.
Within about ten minutes, as a PDF on headed paper with the GP's GMC number. We do not report to your employer directly, which means you read it before anyone else does and decide whether to send it.
If something in it is not what you expected, say so — a free amendment is included where it is a detail we can properly add.
If your condition is long-term and affects your day-to-day activities, you may be covered by the Equality Act 2010, which places a duty on your employer to consider reasonable adjustments.
You do not need a diagnosis of a named condition for that duty to apply, and you do not need to use the words "reasonable adjustments" for it to be engaged — though saying them explicitly does tend to focus a conversation. ACAS publish free guidance and their helpline is worth knowing about.
Ask for the reason in writing. Common ones, in order:
Where the gap is something we can honestly add, tell us and we will amend it.
Only the DVLA can decide fitness to drive, and where a condition is notifiable, the duty to notify is yours. We can tell you whether it applies and advise, but no GP letter substitutes for their decision. The same is true of HGV, PSV, aviation, diving and seafarer medicals, which require a certified examiner in person.
This is a GP letter, not a formal occupational health assessment. The distinction matters and we want you to understand it before booking.
An occupational health assessment is carried out by a clinician with specific occupational medicine training, usually commissioned by the employer, and often involves reviewing the role, the workplace and the risk assessment. Where an employer has specifically asked for occupational health, our letter may not satisfy that requirement — check before booking.
What we cannot do:
No, and the distinction matters before you book.
An occupational health assessment is done by a clinician with specific occupational medicine training, usually commissioned and paid for by your employer, and typically involves reviewing the role, the workplace and the risk assessment. It reports to the employer.
A GP letter is a doctor's assessment of you and your capacity, given to you. It is frequently accepted and frequently useful — but where an employer has asked specifically for OH, it may not satisfy them. Ask them which they want.
Only if you want it to, or if the request genuinely requires it. The default is to write around function — what you can and cannot currently do, and for how long.
That is normally all an employer needs and all they are entitled to. Your diagnosis is your information.
They can decline what they judge unreasonable, but the duty is to consider them properly.
If a health condition has a substantial and long-term effect on your day-to-day activities, the Equality Act 2010 places a duty on your employer to make reasonable adjustments — and what counts as reasonable depends on the size and resources of the organisation. ACAS guidance is free and clear, and their helpline is genuinely useful.
Specificity, and a time limit. "Reduced hours for six weeks, building back to full time" is actionable. "Should avoid stress" is not, and employers cannot implement it even if willing.
The other thing that helps is knowing your job. A letter that names the actual tasks that are difficult carries far more weight than one describing symptoms in general terms.
Yes, where the assessment supports it. But worth knowing: you do not legally need a letter confirming you are fit to return. A fit note is advice to your employer, not a prohibition, and you can go back before it expires without anyone's countersignature.
Some employers ask anyway, which their policy may permit.
No to both, and for different reasons.
Fitness to drive is decided by the DVLA, on their criteria, and where a condition is notifiable the duty to notify them is yours personally. We can advise whether it applies.
HGV, PSV, aviation, diving and seafarer medicals require a certified examiner and an in-person examination. The D4 in particular needs formally measured visual acuity and visual fields, which cannot be done on video.
They may be entitled to under your contract, but it is worth reading what the policy actually says — and worth noting that repeated requests for short absences sometimes signal the start of a capability or attendance process.
Knowing that is more useful than buying another letter. It may also be the point at which the underlying condition deserves proper attention rather than repeated certification.
We can provide a factual letter about what was assessed and found. Insurers and pension schemes usually want a specific form or a full report, sometimes with access to your medical records — which requires your consent and comes from whoever holds them.
Send us what they have asked for and we will tell you honestly whether a GP letter meets it.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
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