Some countries have also reduced the role of treating doctors in order to objectify the process. Countries have struggled more w'ith influencing the quality of sickness certificates which are still in the hands of an individual’s treating doctor. Sweden has introduced illness-specific guidelines for the certification process w'hich are binding for treating doctors, and the United Kingdom has replaced the previous sick note with a new fit note to increase the treating doctor’s attention to work-related matters (Box 3.8).