"The medical sickness certificate is one of the most powerful and potentially dangerous treatments in the GP armamentarium." These are the words of Professor Waddell at a 2006 British Medical Association (BMA) conference on work, health and well-being when introducing the influential evidence review, Is work good for your health and well-being?' Professor Waddell's powerful statement makes sense given the overwhelming evidence that avoidable worklessness is at least as dangerous as smoking in terms of mortality and morbidity.
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