Absence | Germany's sickness crackdown raises a question for UK employers

Germany's decision to require workers to provide a doctor's note from the very first day of sickness absence is a bold attempt to tackle rising absence rates.

With Chancellor Friedrich Merz arguing that the country's average of 18 sick days per employee has become an economic burden, the move reflects a government looking for quick, measurable action.

At first glance, it’s easy to understand the logic. If obtaining a medical certificate becomes more onerous, it could discourage those tempted to take the occasional "duvet day". Employers frustrated by persistent absence may also welcome greater reassurance that sickness leave is genuine.

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The problem is that there is little evidence the policy addresses the root causes of absence. Critics, including Germany's medical bodies, have warned it could simply push thousands of people with minor illnesses into already stretched GP surgeries, increasing pressure on healthcare services while exposing others to infectious illnesses. In many cases, someone with a stomach bug or heavy cold is better off resting at home than sitting in a waiting room for paperwork.