SCHEDULE 1

PART IIITHE NOTES

The following notes shall accompany the form of doctor's statement provided by the Secretary of State:—

On the doctor's statement:—

1

After the words “you should refrain from work for”, the period entered must not exceed 6 months unless the patient has, on the advice of a doctor, already refrained from work for a continuous period of 6 months.

2

After the words “you should refrain from work until”—

a

if the patient is being given a date when he can return to work the date entered should not be more than 2 weeks after the date of the examination;

b

if the patient has already been incapable of work for at least 6 months and recovery of capacity for work in the foreseeable future is not expected “further notice” may be entered.