The Mayfield Review examined economic inactivity linked to ill-health and outlined recommendations for employers and the UK Government.
Commissioned by the UK Government in late 2024 and led by Sir Charlie Mayfield, former chairman of John Lewis, the Mayfield Review explores economic inactivity associated with ill-health and disability. The report estimates the annual cost of such economic inactivity at 212 billion, reflecting lost output, increased welfare payments and additional pressure on the NHS.
Since 2019, nearly 800,000 additional people have become economically inactive for health reasons, representing a 40% rise. Currently, one in five working-age adults report a condition that limits their ability to work. The review sets out recommendations for employers and the government to address these challenges.
The final report, published in November 2025, identifies employers as central to prevention and early intervention. It suggests that strengthening workplace health provision could reduce reliance on reactive NHS treatment and better support ongoing wellbeing.
The report highlights concerns with the current fit note system. Evidence shows that 93% of fit notes state individuals are “not fit for work,” often without considering phased returns or reasonable adjustments.
GPs, who lack occupational health training and time, may issue generic notes,...
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