Darwin Baragrey

An employee or worker is eligible for statutory sick pay if they:

Agency, casual and zero-hours workers are also entitled to statutory sick pay if they meet the eligibility criteria.

An employer might ask their employee for a fit note before they'll pay statutory sick pay.

A fit note is sometimes called a 'sick note'. It is a statement from a registered healthcare professional giving their medical opinion on a person's fitness for work.

An employee must get a fit note if they've been off sick for more than 7 calendar days.

Employers should be understanding if there's a delay getting a fit note. Employees might have difficulty getting a doctor's appointment.

Find out more about fit notes and proof of sickness

If someone is not eligible for statutory sick pay, their employer must tell them why in writing. They can do this in either:

Find employer form SSP1: statutory sick pay on GOV.UK

Someone who is not entitled to statutory sick may might be entitled to benefits or financial support to help with living costs.

Find out about benefits and financial support on GOV.UK

Statutory sick pay is £109.40 per week. It can be paid for up to 28 weeks.

An employer does not have to pay statutory sick pay for the first 3 qualifying days of sickness absence. These 3 days are called 'waiting days'.

Statutory sick pay is the minimum amount employers must pay. Some employers might pay more. If they do, this must be written in the contract or workplace policy.

It should also say in the contract or the organisation's policy whether the first 3 days of sickness absence are paid or unpaid.

Contact HM Revenue and Customs (HMRC) statutory payment dispute team if you think your employer has:

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Here’s a scientific guide that touches on the basics of hyaluronic acid.

Technically, it’s a group of sugar molecules called polysaccharides, according to a past study. These molecules work to cushion and lubricate, and they’re found naturally in the body’s connective tissues, notes the Cleveland Clinic.

Over time, your body’s stores of hyaluronic acid decline. Age is one reason, research shows, but environmental factors — such as smoking and air pollution — also accelerate this process, according to another past study. That’s the bad news.

The good news is that topical products that feature hyaluronic acid, whether as part of the ingredients list in a moisturizer or as the star of a serum, can help rebuild those depleted stores, says Bonnie Gasquet, MD, an internal medicine physician at Studio Health medical center in Belle Chasse, Louisiana.

“Hyaluronic acid attracts and binds to water molecules and increases the water content of the skin,” says Shari Marchbein, MD, a board-certified dermatologist in private practice in New York City. It can absorb more than 1,000 times its weight in water, Dr. Marchbein says.

RELATED: The Skin-Care Glossary Every Woman Needs

The key benefit of hyaluronic acid is hydration and that unbelievable ability to retain moisture. To understand how important moisture is for the skin, you have to first know that dehydrated skin — when the top layer of skin doesn’t have enough water — appears dry, rough, and flaky, Marchbein says.

It’s not just a matter of aesthetics. Dry skin can be dangerous. “Poorly hydrated skin is unable to maintain an appropriately intact skin barrier, leaving the skin more vulnerable to damage from external and environmental sources,” Marchbein says. When the skin barrier is not intact, it can let bacteria in, which can lead to infection, according to a study in BMC Research Notes. Compromised skin barriers can play a role in many skin conditions, including dry skin, atopic dermatitis, rosacea, and acne, according to a study in the Journal of Allergy & Therapy.

Hydrated skin, then, is what you want. “Skin hydration is important because hydrated skin looks more plump, healthier, and more vibrant,” Marchbein says. And younger, too, if that’s one of your goals. According to some research, skin aging is associated with loss of skin moisture, and hyaluronic acid is the key ingredient when it comes to combating or reversing these signs. “Because of its water-pulling qualities, hyaluronic acid can refine and age-rewind in those dry, sunken, or ‘crepe’ areas,” Dr. Gasquet says. A small study published in May 2016 in MMW Fortschritte der Medizin found that over-the-counter anti-wrinkle creams containing hyaluronic acid decreased the depth of wrinkles around the lips and eyes by 10 to 20 percent over a three-month period. Skin tightness also improved by 13 to 30 percent.

Gasquet recommends applying products with hyaluronic acid during the winter especially, when the skin tends to be at its driest. But even those who aren’t battling dryness will want to add hyaluronic acid to their skin-care routine. Kenneth Rothaus, MD, a board-certified plastic surgeon with Rothaus Plastic Surgery in New York City, says it’s responsible for giving the skin a healthy glow. Marchbein recommends a hyaluronic-packed moisturizer for people of all ages. “It is never too early to start a good skin-care routine,” she says.

RELATED: 10 Natural Dry-Skin Remedies You Can DIY at Home

There are three types of hyaluronic acid:

There’s also ingestible hyaluronic acid, which is a capsule filled with the active ingredient. The idea is that by taking a supplement, levels of the hyaluronic acid will be steady and the effects will last, according to a study published in July 2017 in Clinical, Cosmetic and Investigational Dermatology. And it appears to work: The researchers found that participants who took 120 milligrams of hyaluronic acid per day for 12 weeks improved their skin wrinkles and their overall skin condition.

RELATED: 9 Things to Know Before Undergoing Laser Resurfacing

Hyaluronic acid is generally safe for all skin types and doesn’t typically lead to any adverse reactions when applied topically, Marchbein says. “Hyaluronic acid is a natural substance in our skin, and as a result one should not expect any problems,” Dr. Rothaus says. “When patients complain of rashes or other problems related to hyaluronic acid–containing products, it is often a result of a problem with another ingredient, such as one of the preservatives.” Preservatives extend the life of a product, but some, including parabens, formaldehyde-releases, and isothiazolinones, can lead to irritation, according to DermNet NZ.

Marchbein points out that hyaluronic acid is also found in a large number of injectable fillers, and while the ingredient itself is safe, the procedure can be risky and should be performed by a doctor certified by the American Board of Dermatology or the American Board of Plastic Surgery.

RELATED: A Detailed Guide to Collagen and How to Ramp Up Your Production

Name a skin-care category, and there’s probably a product featuring hyaluronic acid. You’ll find the ingredient in numerous products, including:

Before you purchase a topical product, follow these steps.

Watch out for any ingredients you’re allergic to or that have caused you irritation in the past, Gasquet says.

Look for a hyaluronic acid product that also lists vitamin C as an ingredient (such as Dermalogica BioLumen-C Serum, $89, Dermstore.com). The two ingredients work together to boost effectiveness, according to the Cleveland Clinic.

RELATED: Everything You Need to Know About Vitamin C Serums

When you’re searching for a product, check to see if its molecular weight is listed. It isn’t always, but it’s worth looking for because it can give you a clue as to how effective the product will be. Acids with lower molecular weights (50 kilodaltons versus 2,000, for instance) can more easily penetrate the skin and have been shown to be more effective at fighting wrinkles, according to a past sudy. That study found that even a 0.1 percent concentration of hyaluronic acid led to increased hydration and elasticity, though most products will have 1 or 2 percent.

Alcohol can counteract the ingredient’s moisturizing benefits. “Isopropyl alcohol is very drying and can leave skin vulnerable to cracking, allowing skin break and possibly irritants and bacteria to enter where they do not belong,” Gasquet says. “In addition, the ‘drying effect’ can cause the cells to become less plump, the complete reverse effect of what we want.” She says to look at where alcohol appears on the ingredients list. Ingredients are listed in order of concentration, so if it’s one of the first six ingredients, the product may be drying, Gasquet says.

Nazanin Saedi, MD, the department cochair of the Laser and Aesthetics Surgery Center at Dermatology Associates of Plymouth Meeting in Pennsylvania, says products with added fragrance can cause irritation or breakouts in people with sensitive skin, so it’s best to steer clear. Fragrance can also lead to contact dermatitis, which is a skin rash that can appear minutes to days after contact with a trigger, says Cleveland Clinic.

RELATED: The Best Moisturizers for Dry Winter Skin, According to Dermatologists

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