The government’s contracts with GPs covers medical services to NHS patients.  However, in recent years more and more organisations have been involving doctors in a wide range of non-NHS work. This work is not funded by the government, so GPs have to charge a fee to cover their time and other expenses.

It is important to understand that many GPs are not employed by the NHS.  They are self-employed and they have to cover the costs of everything from the limited NHS funds provided, staff wages, buildings, heating, lighting, in the same way as any small business. The NHS covers costs for NHS work but not for non-NHS work; the fees charged by GPs contribute towards keeping the surgery running.

With certain limited exceptions, GPs do not have to carry out non-NHS work. Many GPs however will always attempt to assist their patients and carry out this work.

Time spent completing forms and preparing reports takes the GP away from the medical care of patients which will always have top priority. GPs have an ever increasing workload of forms which must be prioritised against offering appointments and other urgent administration. We aim to complete non-NHS work within two weeks of receipt.

When a GP signs a certificates, completes a report or writes a letter it is a condition of remaining on the medical register (which allows them to practice as a doctor), that they only sign what they know to be true. In order to complete even the simplest of forms, the doctor may have to check a patient’s entire medical record.

Any service required by patients which is not included in the general medical services contract and therefore provided privately may attract a fee.

Private fee prices:

Our private fee prices are as follows:

Certificates and letters

• Sickness certificate for employer – £25.00
• Fitness to travel letter, short – £25.00
• Fitness to travel letter, detailed – £40.00
• Fitness to exercise letter – £25.00
• Letter to take medication on plane – £25.00
• Certificate for modelling agency – £25.00
• TWIMC letter, short – £30.00
• TWIMC letter, detailed – £50.00

Medical reports

• Health insurance claim, simple – £40.00
• Health insurance claim, detailed – £50.00
• Holiday cancellation – £40.00
• Childminder, OFSTED health declaration form – £108.00
• Solicitors’ reports, general – £96.00
• Solicitors’ reports, mental capacity to make a will – £96.00
• Solicitors’ reports, court of protection COP3 with examination – £96.00
• Solicitors’ reports, court of protection COP3 without examination – £72.00
• Lasting power of attorney, witnessing at surgery – £48.00
• Lasting power of attorney, witnessing at home – £66.00
• Lasting power of attorney, examining and certifying the patients’ mental capacity – £96.00
• MCA 2, capacity assessment form – No charge

Reports without examination

• Extract from records, 15 minutes – £84.00
• On a pro-forma, 20 minutes – £108.00
• Statement on condition of patient and detailed report – £168.00
• Local authority/NHS – Negotiable
• Post-employment – £75.00

Medical examinations

• HGV/LGV and PSV licence – £120.00
• Elderly driver examination for insurance – £75.00
• Sports examination with report – £180.00
• Taxi driver medical – £75.00
• Adoption medical – Price on application
• Fostering adult medical examination – £96.00
• Fostering adult report – £54.00
• Paternity blood test DNA – £48.00

Miscellaneous

• Private consultation, 10 minute appointment – £40.00
• Private consultation, medication costs – to be confirmed with dispensary
• Private prescription, including being taken to a chemist – £15.00
• Course of vaccinations, non NHS, administering fee – £36.00
• Private ECG and report – £65.00