Understanding Sick Notes (Fit Notes)

 

Key Information

  • The Common Culprit: Most short-term coughs are caused by viral infections such as colds or flu. The cough is your body’s way of clearing mucus and inflammation.
  • Persistent Coughs: If a cough lasts longer, we consider other causes such as asthma, acid reflux, or postnasal drip.
  • COPD: In people who smoke or have smoked, a persistent cough can be a sign of Chronic Obstructive Pulmonary Disease (COPD).
  • Bacterial vs. Viral: Most coughs are viral and settle on their own, but bacterial infections such as pneumonia are more serious and may need antibiotics.

What Happens Next?

If you have been off work for more than 7 days and require a Fit Note, or if you need to extend an existing note, please request a Sick Note.

Request a Sick Note

If you have been off work for less than 7 days and your employer needs an SC2 form.

Self complete an SC2 form 

The NHS App is for ordering your regular, repeat medications only.

Make a New Medication Request or an Urgent Prescription Query Online

Further Information

To learn more about coughs and what causes them, please visit the NHS website.

Learn more about coughs

Last reviewed: 30 December 2025
Next review due: 30 December 2028