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.

Non – NHS Fees

Fees must be paid in advance – We no longer sign Passport applications due to a change of regulations form the Home Office.

Statement of fact letters  (for housing, school)£30 – Will take up to 2 weeks
Application for Council Tax discount due to severe mental impairmentFREE
DWP / PIP Statement of Health£30
Private Sick Note  (first 7 days of illness)£20
Concessionary Fare Scheme (bus pass) Form £15
Debt and Mental Health Form £15
Any insurance or Holiday cancellation form£30
Life Declaration Form – with or without visit£30
Cancellation of Gym Membership Letter due to ill health£30
Private Report/form £35-100 (amount charged dependent on GP time required)
Private ECG Recording with report £40
Fitness to do activity (travel/jumping/diving)£30
Letters for Travel stating medication£15
Medicals (e.g. HGV/Taxi/DVLA/Army)Book 20min appointment with GP£100
£120 (Not a BMC registered Patient)
Hackney Carriage Taxi Medical (2 sided form)Book 20 min GP appointment£60
£75 (Not a BMC registered Patient)
Adult AH Adoption / OFSTED Medical Take form, send to Siran. Book 20min appt with usual GP and write appt info on form Agency will pay  
AH updated Fostering & Adoption formsNo appointment necessaryAgency will pay  
Power of attorney – with Visit (without visit)£165 (£120)
Court of Protection Assessment of capacity with examination (without examination)£200 (£100)
Criminal injuries compensation report£50
Vaccination fees £15.00-£40.00 depending on the  vaccination
Occupational health test (eg Hep B)£25
Hepatitis B vaccination (3 dose course)£75
Vaccination certificate£20
Shotgun Licence Renewal (from patient)£15

Your questions answered

Isn’t the NHS supposed to be free?

The National Health Service provides most healthcare to the majority people free of charge, but there are exceptions: for example, medical reports for insurance companies.

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. 

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