Non NHS Private Fees


About charging fees

The practice provides some non-NHS services which are chargeable. A list of fees for these services is displayed in the waiting area. A copy of this list can also be obtained at the reception. This includes items such as private medicals, taxi medicals, any forms/letters completed and some travel vaccinations.

The NHS provides most health care free of charge. However there are a number of other services for which fees can be charged. These are mainly for services not covered by the NHS, such as medical reports for insurance companies.

Doctors are involved in a whole range of non-medical work, largely on the basis that they occupy a position of trust within the community, and are in the position to verify the accuracy of information. If a GP signs a certificate or completes a report, it is a professional duty that s(he) checks the accuracy of such information. This may involve examining the patient’s entire medical record.

What certificates do I have to pay for?

There are a number of certificates which GPs are obliged to provide free of charge. These include certain certificates supporting claims by patients for social security benefits.

If a patient is off work for seven days or less the GP does not have to provide a sick note. ​A patient can be refused a note or charged for a private one for illnesses of seven days or less.



We do not countersign any passport or naturalisation applications.

Fees and charges may be subject to change at short notice. Please check with reception. There will also be a charge to obtain certificates, letters and private prescriptions from doctors and practice nurses.

Non-NHS Private Fees

Any other medical report/letter not listed below will be charged depending on the information is required. This charge will be advised by the GP or Practice Manager. Patient will be informed prior to the report/letter.

Please confirm with GP or Practice Manager.

Private Services Fee
Patients’ Charges
Copy of full Medical Records Please request for access to your medical records
Support letter for housing/Blue badge/UC etc £25.00
Certificate of incapacity  £25.00 to £30.00 depending on the type of letter
Fitness Certificates £30.00
To Whom it May Concern letter - Registration £25.00 to £100.00 depending on household information
Forms requiring Dr’s signature only £25.00
Scuba Diving Health Questionnaires £40.00
Fit to exercise medical forms (such as Gym membership) £25.00
Verification Letter £25.00
Insurance Claim Form (holiday / medical) £30.00
HGV/TAXI Medical £85.00 to £120.00
Private Medical Certificate/Sick Note £15.00
Adoption Medical £73.86 (payable by patient or local authority)
Army Medical £65.00 (payable by patient or local authority)
Medical authority to participate in an activity £30.00
Medical Report with examination £85.00
Medical Report without examination £50.00
Insurance Company / Solicitor Charges
Extract from Records  Sent via email with patients' consent within 3 months
iGPRs £85.00
Medical Report with examination £85.00
Medical Report without examination £50.00
Further Information £25.00
Local Authority Charges
Fostering Medical £73.00 to £86.00
Housing Letter (payable by council) £25.00
Child Minding Health Form £87.00 (payable by patient or local authority)
Police Force Medical £85.00
Blue Badge/PIP Supporting Letter £25.00
Freedom Pass £25.00
Disability Living Allowance £33.50
Meningitis ACWY & Certificate £40.00 and £25.00 (Only for travelling purpose and free for students under 25)
Hepatitis B (3 course of injections & blood tests request/copies of the results) £40.00 per dose (requires 3 doses) (Copy of Blood tests - free)

Why do GPs sometimes charge fees?

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

More About Our Services