Services which are out with NHS contract
The National Health Service provides most health care to most people free of charge, but there are exceptions. GPs are self employed and contract to provide NHS general medical services for their patients.
Sometimes, GPs are asked to provide additional services, which fall outside their contract and in these circumstances, they are entitled to make a reasonable charge for providing them.
Our Current Fees
A guide to our current fees are as follows (although are subject to change without notice). We are able to provide chip and pin payments from all major card providers.
|Private Sick Note||£40.00|
|Freedom from infection certificate||£40.00|
|Confirmation of vaccination/immunisation letter||£40.00|
|Holiday cancellation certificate (form)||£55.00|
|Fitness to travel certificate (form)||£55.00|
|Fitness to Participate (form, without examination eg gym, events||£77.00|
|Occupational Health Form||£40.00|
|Police OH Form||£40.00|
|Sickness/Accident Claim Form||£40.00|
|MEDICAL/EXAMINATIONS AND REPORTS|
|Private Healthcare form BUPA/PPP)||£55.00|
|Insurance Company GPR Report||£184.00|
|Employer’s report and opinion without examination||£123.00|
|Subject Access Request (unless request deemed excessive)||£0.00|
|Solicitor (Soul & Conscience)Power of Attorney / Guardianship with examination||£0.00|
|Solicitors Report (Letter – 1 page)Solicitors Report (Longer letter)||£155.00 |
£230.00 or at discretion of GP
|Pre-employment medical (Employer)||£160.00|
|HGV, PCV, taxi driver with examination||£155.00|
|Oil & Gas UK Medical||£142.00|
|Drug & Alcohol Screen||£40.00|
|Fit To Train (EBS) if completed with offshore medical||£32.00|
|Fit To Train (EBS) if separate appointment||£53.00|
|Elderly Driver Fitness certificate with medical (+75)||£87.00|
|Medical/fitness without examination||£128.00|
|Medical/fitness with examination and report||£180.00|
|Fit to attend school examination (Medical Report)||£180.00|
|Student medical (e.g. CampAmerica)With ExaminationWithout Examination|
|Blood Tests (Admin Fee payable to Practice) Laboratory to be advised to send account for test directly to patient||£62.00|
|ECG (insurance) or private BP Monitor||£103.00|
|Private Travel Prescriptions – admin fee||£32.00|
|Non NHS Travel Vaccinations (Hep B, Rabies)||£32.00 per individual immunisation.|
|Yellow Fever Vaccination||£60.00|
|Private Patients: Consultation charge|
20 mins (Minimum charge)
|£245 per hour|
Your Questions answered
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: 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.
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.
Examples of non-NHS services for which GPs can charge their NHS patients are:
- accident/sickness insurance certificates
- certain travel vaccinations
- private medical insurance reports
- Statements of fact relating to general health e.g. for children’s dance classes,
- Letters requested by, or on behalf of, the patient
- Holiday cancellation claim forms
- Referral for private care forms
Examples of non-NHS services for which GPs can charge other institutions are:
- medical reports for an insurance company
- some reports for the DSS/Benefits Agency
- examinations of occupational health
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 can I do to help?
- If you have several forms requiring completion, present them all at once.
- Do not expect your GP to process forms overnight:
Examples of Non-NHS Services 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.