Non NHS Services


Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples 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 our reception staff will be happy to advise you about them along with appointment availability.

Please note that the processing time for these NON-NHS Services can take up to 30 working days.

In some circumstances and extension on this time of up to 60 working days may be required.

Private Fees

Effective from September 2023

Not all services at the Practice are available under the NHS.

Where patients request Non-NHS services, a private fee is payable. Claire Prince, Becca Broad, Jomila Parvin or Yasmin Lock need to be consulted for an invoice number prior to requesting payments. Invoices can then be created by staff.

Accepted methods of payment include Bacs, Cash or Cheque


Department for Work and Pensions (DWP)

  • Personal Independence Payment (PIP) - £50


  • Shotgun Licence - £100

Fostering / Adoption Medical Examinations

  • Private - £200
  • Council - £200

Fitness To Travel

  • Fitness to Travel Examination - £150
  • Fitness to Travel Letter / Report - £150

Private Medical Examinations

  • Diabetic Drivers Insurance Form - £100
  • Elderly Driver Fitness Certificate - £200
  • HGV, PSV Taxi Driver Examination - £100
  • Medicals for 3rd Parties - £200
  • Pre – Employment Medical - £200
  • Racing Driver Fitness Certificate - £200
  • Sports Medical - £200
  • Army Medicals - £50.00 Admin + 40p per copy of paper from records

Medical Reports

  • Specific Medical Information - £100
  • General Practitioner’s Report - £300
  • Written Report (No Examination) providing detailed opinion and statement on the condition of Patient - £300

Other Private Fees (To whom it may concern)

  • General Letter – To whom it may concern - £80
  • COP3 Mental Capacity Assessment Only - £200
  • COP3 Mental Capacity Assessment and Pro forma / Report - £300
  • COP3 Home Visit Assessment and Report - £400
  • Fitness to attend School Examination - £100
  • Fitness to attend School Certificate - £80
  • Holiday Cancellation Insurance Certificate - £150
  • Ofsted Childminder Health Form - £150
  • Passport Form / Photograph - £100
  • Power of Attorney (Non-Appointment) - £150
  • Power of Attorney (Appointment) - £200
  • Private Fitness for Work Note (VAT Exempt) - £100
  • Scuba Dive Examination - £150

Frequently Asked Questions

Isn’t the NHS supposed to be free?

The National Health Service provides most health care to most people free of charge, but there are exceptions: prescription charges have existed since 1951, and there are a number of other services for which fees are charged. Sometimes the charge is made to cover some of the cost of treatment, for example, dental fees; in other cases, it is because the service is not covered by the NHS, 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.

What is covered by the NHS and what is not?

The Government’s contract with GPs covers medical services to NHS patients. 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 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.

Can you give examples of non-NHS services for which GPs can charge their NHS patients:

  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports

Can you give examples of non-NHS services for which GPs can charge other institutions:

  • medical reports for an insurance company
  • some reports for the DSS/Benefits Agency
  • examinations of local authority employees
  • DS 1500 Form (Disability Living/Attendance Allowance)

Is it true that the BMA sets fees for non-NHS work?

The BMA suggests fees for non-NHS work which is not covered under a GP’s NHS contract, to help GPs set their own professional fees. However, these fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested.

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 will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual doctor to decide how much to charge, but the BMA produces lists of suggested fees which many doctors use. Surgeries often have lists of fees on the waiting room wall based on these suggested fees.

What can I do to help?

  • Not all documents need signature by a doctor, for example passport applications. You can ask another person in a position of trust to sign such documents free of charge.
  • If you have several forms requiring completion, present them all at once and ask your GP if he or she is prepared to complete them all at once as a (job lot) at a reduced price.
  • Do not expect your GP to process forms overnight. You should expect the form(s) to take up to 4 weeks for the GP to complete and return