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Non NHS Services
The National Health Service provides most health care for 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. Charges have to be made for services not
covered by the NHS treatment, for example, medical reports for
Why do we charge for non NHS work?
Most GPs are not employed by the NHS, they are self-employed, and
they have to cover their costs - staff, heating, lighting,
buildings, etc - in the same way as any other 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 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. However, all this work requires time
on the part of the doctors and their administrative team.
Although it may seem that a form requires no more than a doctor’s
signature, 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. The charge reflects
either the time required to check information and/or the degree of
responsibility signing the paperwork entails. If you require a form
completed urgently (e.g. within 48 hours) then this may cost more.
What are non NHS services?
Here are some examples of non NHS services for which most GP
practices may levy a charge:
- Accident/sickness insurance certificates
- Certain travel vaccinations
- Private medical insurance reports
- Passport/driving licence forms
- Private medical consultation
- Freedom from infection certificate
- Private sick note
- BUPA/PPP etc claim forms
- Sickness/accident insurance claim forms
- Pre employment medicals (HGV, PCV, Taxi, Fitness for sport,
Racing driver certificate)
- Extracts from medical records
- Medical reports with and without associated physical
- Fitness to travel
How long does this take?
Whenever possible, we try to complete such forms and reports within
two weeks of receipt. Sometimes this can take a little longer
- the relevant GP might be away on holiday for example. The GPs have
to find time to complete this sort of paperwork in amongst all their
other duties and it can take time to read through a patient’s set of
notes in order to answer the questions raised.
How much does it cost?
In most cases, we can inform you of the likely charge due when you
ask for the paperwork to be filled in. Remember though that not all
documents need a doctor’s signature, for example passport
applications. You may be able to ask another person in a position of
trust to sign such documents.
Our charges are made in accordance with BMA guidelines. To see our
current list of charges please
This list is not exhaustive and any non NHS work which is not
listed here may levy a charge.
How should I pay?
We can only accept cash or a cheque (with a cheque guarantee card). We do not accept credit or debit cards. For medicals and vaccinations, your fee will be payable in advance on the day of your appointment.
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