GP Fees for Non NHS Services

GP Fees for Non NHS Services

Non-NHS work

Some services are not covered by the NHS and we will therefore charge a fee for completion of this work.  The NHS medical care of our patients takes priority during our working day so any private letters or forms can take up to 3 weeks to complete and return to you.  We cannot guarantee they will be completed earlier. 

Why do GPs sometimes charge fees?

It is important to understand that many GPs are not employed by the NHS.

They are self-employed and they have to cover their costs - staff, buildings etc. - in the same way as any small business.  The NHS covers these costs for NHS work but for non-NHS work, the fees charged by GPs contribute towards these costs.

The government's contract with GPs covers medical services to NHS patients including the provision of ongoing medical treatment.  In recent years however 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 ensure that information provided to them is true and accurate. 

Do GPs have to do non-NHS work for their patients?

With certain limited exceptions for example a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients.

Whilst GPs will always attempt to assist their patients with the completion of forms for example for insurance purposes, they are not required to do such non-NHS work.

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 and paperwork takes up an increasing amount of their time, so many GPs find they have to complete this work outside of and in addition to their normal hours.  

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 (the doctors' regulatory body) or even the police.

A list of our current fees and methods of payment with effect from 1st April 2020 is provided below:


GP Fees for Non NHS Services


Medical Examinations



Pre- Employment Examination and Report


Private patients 1st consultation


Private patients subsequent consults



Medical Reports (no face-to-face examination required)

Life Insurance Report                                                                           


Medical / Occupational / Solicitor




Private Prescription

£ 20.00

Simple Letter / Certificate

£ 40.00

Complex Letter/Certificate (2 or more pages requiring examination of medical records)

£ 50.00

Driving Licence Application

£ 30.00

Private Sick Note

£ 20.00

Duplicate Sick Note

£ 10.00

Childminder Ofsted Health Declaration Form

£ 90.00

Power of Attorney: Examination and Certificate


                          : Witnessing Power of Attorney

£ 40.00








Adoption and Fostering

Adoption fees are usually paid by the prospective parent, sometimes by the adoption/fostering agency or authority. This needs to be established prior to your appointment.

Form AH - Health Assessment, Prospective Carer

Approx. £100



Some vaccinations required for travel purposes carry a fee. Once a travel questionnaire has been completed and our practice nurse has made her recommendations, the cost of your vaccinations/treatment will be quoted.



Holiday Cancellation letter / form (simple document, 1 page)

£ 20.00

Holiday Cancellation letter / form


Overseas visitor Private Consultation

(cost of drugs and dressings plus VAT will be additional)

£ 50.00







Payment for services provided to patients must be in CASH ONLY.

Payment must be made at the beginning of a course of treatment/vaccinations, or completion of report/letter.

If you require further information specifically relating to fees charged for Non NHS services please ask at reception in the first instance.


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