Sick leave policies vary significantly across Europe, impacting workers’ rights and employer responsibilities.

In the UK, employees do not need a sick note for the first seven days of illness; a Fit Note is required starting on day eight. This note can be issued by various healthcare professionals and may suggest workplace adjustments.

Italy mandates sick notes from day one, with surprise home checks by officials to verify illness. In Spain, sick leave has surged, with 8.5 million cases in 2024, leading to significant financial implications for businesses.