Our Clinical Review Process

The independent review process is designed so that medical documentation reflects professional standards and accurate clinical judgement. Certificates and letters are not generated automatically. Each request is individually assessed by the reviewing doctor. Process summary:

• ✓Secure online submission completed by the patient.
• ✓Submission sent directly to an independent GMC-registered doctor for review.
• ✓Documentation issued where the reviewing doctor determines it is clinically appropriate.
• ✓Requests declined where the reviewing doctor finds insufficient clinical justification.

• ✓There is no clear medical basis for the requested statement.
• ✓Information provided is insufficient to support a safe medical opinion.
• ✓The requested wording would be inaccurate, misleading, or outside clinical competence.
• ✓The situation requires urgent or in-person assessment.

This reflects the professional duty on every registered doctor to be accurate, and not misleading, in any document they sign.

In the United Kingdom, a fit note (Statement of Fitness for Work) is the document that advises on how a health condition affects a person’s fitness for work. A private medical certificate requested through MedicalCert is a different document and is not a fit note. GOV.UK states that employees who are off work for 7 days or less do not need to give their employer a fit note or other proof of sickness from a healthcare professional, and that a fit note is needed where sick leave runs for more than 7 days in a row. Official guidance is published by GOV.UK and the NHS: GOV.UK guidance on taking sick leave NHS guidance on getting a fit note

The doctors who review consultations through MedicalCert are self-employed independent practitioners. Each is registered with the General Medical Council and is individually accountable to it for accuracy, honesty and patient confidentiality. MedicalCert does not employ them, does not supervise their clinical work and cannot influence a clinical decision.

Payment processing and platform administration are handled by Nobel Medical LLC. That administrative structure does not replace the professional regulation each doctor is subject to.

Revalidation and appraisal are General Medical Council processes, carried out through each doctor’s own designated body. MedicalCert is not a designated body and does not revalidate or appraise anyone.

Dr Maria Knobel, Medical Director, GMC 7495073, sets and maintains the clinical standards framework the platform operates to. She does not review individual cases. Every consultation is assessed by the GMC-registered doctor who reviews it.

GMC guidance emphasises the importance of protecting personal information and maintaining professional standards in medical documentation. View GMC confidentiality guidance

• ✓Documentation is issued only where the reviewing doctor determines it is clinically appropriate.
• ✓Medical certificates reflect the doctor’s clinical opinion at the time of review.
• ✓Third parties apply their own acceptance policies.
• ✓The platform is not an emergency service and is not a substitute for ongoing care from your own GP.