SystmConnect's Communications Annexe is how practices send you documents, questionnaires and fit notes digitally, and how you can reply to them.

Beyond simple messages, SystmConnect can send and receive whole documents: fit notes, questionnaires to fill in before an appointment, advice sheets, images, and links. This area is sometimes called the Communications Annexe.

  1. 1

    Watch for a notification

    You'll normally get an app or email notification when your practice sends you something through this route.

  2. 2

    Open the item

    Depending on how your practice has it set up, this might open inside your sign-in app or via a secure link sent to you.

  3. 3

    Complete any questionnaire attached

    Practices sometimes send a short pre-appointment questionnaire — filling it in promptly helps make the most of your appointment time.

  4. 4

    Download or save documents like fit notes

    Digital fit notes issued this way are valid in the same way a paper one is — save or print a copy for your employer if needed.

  5. 5

    Reply if a response is requested

    Some items are informational only; others expect a reply or confirmation. The item itself should make clear which applies.

Tips & things to watch for

  • Digital fit notes carry the same legal standing as paper ones — you don't need a physical copy unless your employer specifically asks for one.
  • Keep your app updated so attachments and forms display correctly.
  • Some links sent this way are time-limited for security reasons — open them reasonably promptly rather than leaving them for weeks.

Frequently asked questions

Is this secure?

Yes — documents and messages sent this way stay within the same secure system used for the rest of your record, rather than being emailed as open attachments.

Can I forward a digital fit note to my employer?

Yes, you can download or share the document you're sent in the same way you would a paper copy.

Related guides

This is an independent, unofficial guide. For account-specific help, contact your GP practice or NHS service, or visit TPP's official SystmConnect page.