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I note that it is now acceptable for a highly respected senior occupational physician to use the phrase "unaudited farce" in public and in the BMJ in relation to sick notes. 1 A major part of the workload of many occupational physicians entails sickness absence, and much of this entails disagreeing with the advice given by general practitioners via sick notes. In most areas of medicine, specialist doctors guide and advise generalists. To employ one doctor just...
