Non NHS Services – Chargeable

Services which are outwith the NHS Contract

The National Health Service provides most healthcare to the majority of people free of charge, but there are exceptions. GPs are self-employed and are contracted to provide NHS general medical services for their patients.

Sometimes, GPs are asked to provide additional services which fall outside their contract and in these circumstances, they are entitled to make a reasonable charge for providing them.

Letters and Reports

Our doctors’ priority is to focus on the medical care and health needs of our NHS patients. Writing letters or filling out forms is done in the doctors’ own time, outside of the day-to-day care of their patients. As this is not an NHS service the practice charges fees for some medical letters, reports and certain medical examinations. These fees are in line with British Medical Association guidance and reflect the time spent by the doctors and the administrative team. You can read more here about why GPs sometimes charge fees on the BMA’s webpage here.

Our fees are listed below. If you are happy to proceed, then please contact us via email. We will contact you when we are able to process your request. At times there can be a wait of over a month before your request is processed.

The fees charged are based on the British Medical Association (BMA) suggested scales and Practice Reception Staff will be happy to advise you about them along with appointment availability. 

Table of Fees

ItemWho PaysCharge
To Whom It May Concern Letters
Letter re fitness to exercise, travel, housingPatient£25
Certificates and forms
Fitness for sport, school, university, etcPatient£25
Certificate of IncapacityPatient / Insurance company£25
Straightforward certificates of factPatient / Insurance company£25
Health Certificate to attend university, college, teacher and nurses trainingPatient / Employer£70
School fees insurance claim formPatient£25
Fitness to attend state schoolLocal authority£25
Provident Association claim form (e.g. BUPA/PPP)Patient£25
Application For Naturalisation as a British Citizen – form AN from the UK Border AgencyPatient – bring photograph£25
Criminal injuries compensation report on pro formaCriminal Injuries Authority£38
PADI Fitness for Diving Medical StatementPatient£45
Power of Attorney £80
Private sick notePatient£25
Fit to Drive medicals (all cab/taxi/bus HGV medicals – Form TPH/204)Patient£100
Report no examination (20 to 30 mins)Patient£60
Report to DVLA with examinationDVLA£130
Report to DVLA No examinationDVLA£50
Seat belt exemptionPatient£70
Elderly driver certificatesPatient£70
PCV/LGV driver / local authorityPatient£80
Travel Abroad
Pregnant Woman’s Medical Certificate Attesting Fitness to Fly noting their good health and indicating the baby’s expected date of birthPatient£25
Prescription for drugs required solely for purpose e.g. Malaria tabPatientvia nurse tbc
Meningitis C Vaccination for TravelPatientvia nurse tbc
Visa medical report migrating / travelPatientvia nurse tbc
Vaccination certificatePatientvia nurse tbc
Letter detailing prescription medicines with Surgery stamp
Letter detailing medicines with Surgery stampPatient£10
Employment – Private
Full medical with report or certificate (private/insurance – 45mins)Patient / Employer / Insurance£130
Report without examination (private/insurance – 30 mins)Patient / Employer / Insurance£80
Report on Pro-forma (20 mins)Patient / Employer / Insurance£80
Medical Report requested by solicitors (1/2 hour GP time)Solicitor£80
Employment – Local Authority / Police / NHS
Police / Local Authority medical exam, certificate, opinionLocal authority£130
Local Authority/Police: report without examination (30 mins)Local authority£80
LA/Police Medical for higher grade appointmentLocal authority£130
Fire brigade’s Medical examinationFire Master£130
Examination and report for fitness for sport, school, university, etc.
Examination and reportPatient / Insurance company£130
Sickness report with examinationInsurance company£130
Insurance Claim form completionPatient£50
Accident report with examinationInsurance company£130
Report without examination. Medical opinion to be included at GP’s discretion.Insurance company£99
Short certificateInsurance company£25
Life Assurance
GP examination own patientInsurance company£130
GP report no examinationInsurance company£80
GP supplementary reportInsurance company£24
Certificate of ExistencePatient£25
BUPA, PPP, WPA, Private Medical Insurance (PMI)
Completion of FormInsurance company£114
Full medical exam and reportInsurance company£130
Adoption and Fostering
Form IHA Initial Health AssessmentPatient / Adoption agency£75
Forms M, B Obstetric Neonatal reportsPatient / Adoption agency£45
Forms C, D, YP or AME Full examination of childPatient / Adoption agency£98
Form AH Health assessment, Prospective carerPatient / Adoption agency£75
Form AH2 Update report, parent/carerPatient / Adoption agency£25
Examination of children in /for care-first examPatient / Adoption agency£38
Childminder (Ofsted health declaration booklet)Patient / Employer£56
Your questions answered

Surely the Doctor is being paid anyway?

It is important to understand that GPs are not employed by the NHS, they are self-employed and they have to cover their costs – staff, buildings, heating, lighting, etc – in the same way as any small business. The NHS covers these costs for NHS work, but for non-NHS work the fee has to cover the Doctor’s costs.

In recent years, more and more organisations have been involving Doctors in a whole range of non-medical work. Sometimes the only reason that GPs are asked to do non-medical work is because they are in a position of trust in the community, or because an insurance company or employer wants to be sure that information provided is true and accurate.

Examples of non-NHS services for which GPs can charge their NHS patients are:

  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports
  • statements of fact relating to general health e.g. for children’s dance classes
  • Letters requested by, or on behalf of, the patient
  • Holiday cancellation claim forms
  • Referral for private care forms

Examples of non-NHS services for which GPs can charge other institutions are:

  • medical reports for an insurance company
  • some reports for the DSS/Benefits Agency
  • examinations of occupational health

Why does it sometimes take my GP a long time to complete my form?

Time spent completing forms and preparing reports takes the GP away from the medical care of his or her patients. Most GPs have a very heavy workload – the majority work up to 70 hours a week – and paperwork takes up an increasing amount of their time, so many GPs find they have to take some paperwork home at night and weekends.

I only need the Doctor’s signature – what is the problem?

When a Doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. In order to complete even the simplest of forms, therefore, the Doctor might have to check the patient’s entire medical record. Carelessness or an inaccurate report can have serious consequences for the Doctor with the General Medical Council or even the Police.

What can I do to help?

  • If you have several forms requiring completion, present them all at once.
  • Do not expect your GP to process forms overnight

Examples of Non-NHS Services include the following: 

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.) 
  • Insurance Claim Forms 
  • Prescriptions for taking medication abroad 
  • Private Sick Notes 
  • Vaccination Certificates 

The fees charged are based on the British Medical Association (BMA) suggested scales and Practice Reception Staff will be happy to advise you about them along with appointment availability.