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Private Services & Fees

Non-NHS Services

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 such as travel vaccination, in other cases it is because the service is not covered by the NHS, for example medical reports for insurance companies.

Do GP’s 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, GP’s do not have to carry out non-NHS work on behalf of their patients.

Whilst GP’s 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.

Surely the doctor is being paid anyway?

It is important to understand that the GP's are not employed by the NHS, they are self-employed and they have to cover their costs – staff, building, heating, lighting etc. in the same way as any other small business. The NHS covers costs for NHS work, but for non-NHS work the fee has to cover the doctor's costs.

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 medical care of his or her patients. Most GP's have a heavy workload and paperwork takes up an increasing amount of their time, so many GP's find they have to work in the evening or at 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, the doctor must 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 is covered by the NHS and what is not?

The government's contract with the GP 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.

Prices For Private Services - Reviewed February 2019

We request at least one week from the time of request to completion.  All private work is completed after all our NHS work. Private work will be charged upon collection or if you fail to collect, we will invoice you for the full amount. We will contact our patients upon completion of any private work.

Seat belt exemption certificate £15.00
To who it may concern letter £25.00 + vat
Fitness for: letter (Travel, University, Work, Course etc) £20.00 + vat

Camp America letter £20.00 + vat
Lighter Life form £30.00 + vat
Holiday cancellation letter £30.00 + vat

Fit to exercise letter
(for Health Club/Gymnasium; brief report to certify a patient is fit to exercise)


Passport/Driving licence form and photo £30.00 + vat
Letter of 'no medical concern' (for example – for Shotgun licence) £60.00 + vat
Private sick note £20.00
GP’s are not obliged to provide their patients with sick notes for absences from work of 7 days or less. They are only required to provide certification for Statutory Sick Pay purposes for absences of eight days or more (which is done free of charge).
View own records No Charge
Health reference £35.00 + vat
Driving licence photo/passport counter signature £30.00 + vat
Power of Attorney (consultation and form completion) £200.00 + vat
Please note if you require a Health and Welfare LPA (LP1H) AND a Finance and Property LPA (LP1F) – this will incur a double charge
HGV medical (inc.LGV/PGV/taxi) £80.00 + vat
Racing medical £55.00 + vat
Pre-employment medical £160.00 + vat
Insurance report and medical £170.00 + vat
Sports medical and report £130.00 + vat
Completion of form to appeal decision made –
DLA, Attendance Allowance, ATOS, ESA
£30.00 + vat

Private insurance claim forms £30.00 + vat
Temporary Residents (not eligible for NHS Treatment)
Private consultation £30.00 (for each 10 minutes)
Private prescription £18.00 (plus cost of medication)
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