Debate Intensifies Over Rising Sick Leave Rates and Telephone Sick Notes in Germany

In 2025, the average duration of sick leave for employees in Hamburg was 19.5 calendar days, a slight decrease of 0.7 days compared to 2024, according to data from DAK-Gesundheit. Respiratory illnesses, mental health issues, and musculoskeletal problems such as back pain were the leading causes of work absences. The persistently high sickness rates have prompted calls for political research into their underlying causes, with DAK board member Storm suggesting that partial sick leave could be considered for certain diagnoses.

Amid these statistics, a debate has emerged surrounding the telephone sick note system, introduced during the COVID-19 pandemic to reduce overcrowding in clinics and prevent infections. While Federal Chancellor Friedrich Merz has criticized the high sick leave rate across Germany — which he noted averages 14.5 days per employee annually — he questions whether the telephone sick note system remains necessary post-pandemic. Similarly, the Union party advocates for abolishing telephone sick notes, arguing its relevance has diminished.

Conversely, Baden-Württemberg's Health Minister Manne Lucha supports continuing the phone-based sick note process, emphasizing its benefits in alleviating pressure on medical practices and minimizing infection risks. Federal Health Minister Warken has also announced plans to review the telephone sick note regulations to curb potential misuse.

These discussions unfold against a backdrop of mounting concern from government officials over Germany's high rate of employee absences due to illness. Chancellor Merz's remarks during a campaign event in Bad Rappenau reflect a broader governmental push to scrutinize and potentially reform sick leave policies. Meanwhile, health experts urge comprehensive investigation into the factors driving long-term health-related work absences.

The situation remains fluid as political stakeholders balance public health considerations with the desire to reduce the average days employees are away from work due to illness. Further policy reviews and possible adjustments to the telephone sick note system are anticipated in the coming months.