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Doctors to refer people with depression to job coaches under new government plan

Jessica Coates
Friday 11 July 2025 07:38 BST
Prime Minister Sir Keir Starmer (left) and Health Secretary Wes Streeting (Stefan Rousseau/PA)
Prime Minister Sir Keir Starmer (left) and Health Secretary Wes Streeting (Stefan Rousseau/PA) (PA Archive)

Doctors in England will be encouraged to refer patients to the gym or job coaches instead of signing them off as "not fit for work", under a new government pilot scheme.

Health Secretary Wes Streeting told The Times the UK’s economy could no longer afford to "keep writing people off".

The new pilot, trialled across 15 locations, will see GPs funded to employ dedicated teams to help people find jobs.

“This pilot marks the end of a broken system that’s been failing patients and holding back our economy for far too long. Right now, we’re issuing 11 million fit notes a year, with 93 per cent simply dismissing people as ‘not fit for work’ — that’s not healthcare, that’s a bureaucratic dead end,” Mr Streeting said.

“We’re changing this conversation. Instead of GPs spending precious time rubber-stamping people out of the workforce, we’re supporting providers to bring in specialists — occupational therapists, work coaches, social prescribers — who can actually help people navigate back into employment while managing their health conditions.”

Health Secretary Wes Streeting (Lucy North/PA)
Health Secretary Wes Streeting (Lucy North/PA) (PA Wire)

According to The Times, a person with depression may get help from a job coach to find a job with flexible hours or someone with an injury could be referred to a physio instead of being excused from work.

The pilot programme comes after a proposed benefit cut for future out-of-work claimants cleared the Commons after Labour ministers saw off a backbench rebellion.

The Universal Credit Bill passed at the third reading, receiving MPs’ backing by 336 votes to 242, a majority of 94.

As part of the Bill, the basic universal credit standard allowance will rise at least in line with inflation until 2029/30.

Work and pensions ministers faced calls to walk away from their universal credit proposals at the 11th hour, after they shelved plans to reform the separate personal independence payment benefit and vowed to only bring in changes following a review.

The Bill will undergo further scrutiny in the Lords at a later date.

Research released in January showed 67,794 people began receiving employment advice through the NHS talking therapies programme last year, a rise of 62% from the previous 12 months.

The programme, designed to help people back into the workforce, links people who qualify with employment advisers who can assist in CV writing, interview preparation and goal setting, as well as reasonable adjustments in the workplace for those living with a disability.

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