Asbestos medicals, done to the letter of the regulation.

"The certificate confirms surveillance took place. It doesn't tell you someone is fit to work with asbestos, and we won't imply otherwise."

Asbestos medicals only do their job if they're carried out correctly and described accurately. Licensed work requires an HSE-appointed doctor and a medical at least every 2 years. Notifiable non-licensed work can be examined by any GMC-registered doctor with a licence to practise, and requires a medical at least every 3 years. We keep those two requirements distinct, in the appointment you get and in what we tell you about it.

We don't add a routine chest X-ray unless there's a clinical reason for one, because HSE guidance to appointed doctors says a routine X-ray isn't justified at a standard examination. And we won't describe the certificate as a fitness-to-work document, because CAR 2012 doesn't require one.

• The right doctor for the right work. Licensed medicals are matched to an HSE-appointed doctor; NNLW medicals to a GMC-registered doctor.
• No unnecessary tests. Chest X-rays are only added where clinically justified, not as standard.
• Accurate certification. Your certificate says what it actually confirms: that surveillance took place, on a given date.
• Clear guidance, not sales copy. Our licensed vs non-licensed, frequency, examination and certificate pages are written from HSE's own guidance documents.