Germany's planned sick leave reform: Doctor's note from day one, phone calls banned

Germany is considering significant changes to its sick leave regulations, including the potential abolition of telephone-based sick notes and the introduction of a mandatory doctor's certificate from the very first day of illness. Government spokesperson Stefan Kornelius clarified that this does not necessarily mean employees must visit a doctor on the first day, stating that the specifics of the new attestation requirement are still being discussed.

The proposed reforms, agreed upon by the leaders of the CDU/CSU and SPD parties, aim to tighten rules for sick leave. The possibility of issuing sick notes via phone without an in-person visit will be eliminated. Currently, a doctor's note is typically required from the fourth day of illness, but the new rule would mandate it from the first day. However, collective bargaining agreements within companies may allow for different arrangements.

The Health Ministry has suggested that video consultations could be a viable alternative for obtaining a sick note, similar to comments made by Chancellor Friedrich Merz. He stated that while a doctor's visit on the first day might not be required, a certificate would be necessary. SPD leaders Lars Klingbeil and Bärbel Bas also acknowledged that the implementation details are still being worked out, with Klingbeil advocating for a "sensible" approach and Bas promising a thorough review.

Medical associations and opposition figures have voiced strong criticism. General practitioners and pediatricians, in particular, fear that requiring a doctor's note from the first day without the option of a phone consultation could lead to an overwhelming burden on their practices.

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