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<p>Prior to the revised ESA65B letter going live in June, GPs were reminded of all
the circumstances in which fit notes may continue to be issued for those found fit
for work. GPs were also sent a copy of the final version of the revised ESA65B.</p><p>
</p><p>The standing guidance for all GPs, clearly setting out the circumstances in
which fit notes should be issued, has been in place since 2013. The guidance has always
been clear that no further fit notes will be required unless the patient wishes to
appeal the decision, their patient’s condition significantly worsens or they develop
a new disability or condition.</p>
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