The Fit for Work [1] (and Fit for Work Scotland) [2] service is a scheme launched in May 2015 to help to reduce sickness absence and promote health and wellbeing in workplaces country-wide. It is a free service (a free referral for all employees who have been off work for four weeks or more), filling a gap in current occupational health services provided by employers (particularly those with limited in-house OH services). It also provides impartial health and work advice to employees, employers and GPs [3].