Research has shown Leeds CCG doctors sign off tens of thousands of sick notes in a year.
Doctors from Leeds Clinical Commissioning Group signed 112 fit notes, on average, every day in the last financial year, according to NHS figures.
Across the Leeds CCG, GPs issued a total of 40,727 between April 2017 and March this year.
That’s down on the previous 12 months, but the NHS says that a technical error meant the figures for February 2018 were under recorded.
People in work need a fit note, previously called a sick note, if they are off work for more than seven days. Up to that point they can self-certify that they are unwell.
Across England, 5.3 million fit notes were handed out in the 12 months.
The most recent monthly data, for March this year, shows that highest rate of notes given to working age patients was in Halton, Cheshire. The lowest rate was in Camden, London.
Despite being called fit notes, most of those issued classify people as unfit for work. This was the case for 94 per cent of the notes.
However, fit notes are also used to advise patients and their employers on getting back to work. This includes recommendations for an employee to make a phased return or work reduced hours or with limited duties.
The most common reasons that doctors signed people off work were mental and behavioural disorders, particularly stress, and back problems.
Women were signed off sick more than men. They received 57 per cent of the fit notes in the 12 months.