Non NHS Private Fees

You can make a request for private work or medical reports by filling out our secure online form

Medical Reports

If a letter is required, please be mindful that there will be a charge. This is an additional service which falls outside the NHS contract and therefor is not funded by the NHS for GP’s to do. As such, a reasonable charge is made to complete these services.

Description Charge
Accident or Sickness Form £45
Adoption/Fostering Private £165
Adoption/Fostering Private Update £52
Beach Hut £40
Capacity Assessment £189
Capacity Assessment with Visit £220
CICA Report £45
Clinical Trial £90
Clinical Trial 1yr follow up £47.50
COP15 £40
EGPR/IGPR for Insurance £110
ESA113/UC113 DWP
Exemption from Letter – Hosepipe/Seatbelt £40
Exemption from Water charges £40
Fitness for accommodation form – Residential/Nursing/Warden Assisted £40
Fitness to Diet Form – Lighter Life £50
Fitness to participate – Gym/Sport etc £42
Fitness to participate sports with GP appointment £60-£150 per 10 mins
Fitness to Travel - (Please note we can provide a brief medical summary at no cost - patient to discuss with airline) £45
GP Letter Short £38
GP Letter Long £85
Health Questionnaire/Occupational Health £40
Holiday Cancellation Form £45
Insurance form for illness abroad £60 to £80
LGV/PCV Medical £125
Occupational Health – University £40
Paternity/DNA tests - Patient to provide kit and form £50
Pension Queries/form from Foreign Countries £40
Pre-employment Form – Armed Forces GOV
Pre-employment Form – Police/British Nursing Association £76
Private Health Form BUPA/Benenden etc. £35 to £100
Private Medical Certificate (brief) £20
Private Prescription Prepayment Certificate £17
Seafarer Medical £125
Solicitors Letter £120 (£150 per apt)
Shotgun £78
Supplementary Report £62
Targeted Report £78
Taxi Medical £150
WBC Fostering/Adoption £85
WBC Fostering/Adoption update £38
Written report – Employer/Insurance/Solicitor £120 (£150 with apt)
Description Charge
GP Consultation £189prh plus £31.50 per 10 minutes
GP Consultation Complex £198prh plus £33 per 10 minutes
Nurse Consultation £79 per hour

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
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