intention -- we don't just need to change the sick note, we need to change the sick note culture so that the default becomes what work you can do, not what you can't. building on the pilots that we already started, we're going to design a new system where people have easy and rapid access to specialize work and health support, to help them back to work from the very first conversation. and part of the problem is that it may not be reasonable to ask gps who were perfectly busy at the moment assess whether their own patients are fit for work. it too often puts them in an impossible situation where they know the refusal to sign somebody off. so we're also going to test shifting responsibility for assessment from gps and giving it to specialist health professionals who have dedicated time to provide an objective assessment of someone's ability to work and the support they