Non NHS Private Fees


Learn more about private services fees

Our contract with the NHS covers the provision of sickness certificates for people who are employed/unemployed. Most other certificates and forms are not covered by the NHS. We provide these as a private service and charge at a cost which reflects the time taken. Please ask a member of staff regarding the fees chargeable if wish to know the cost and likely timeframe for completion of a particular form.

Some examples of Non-NHS Services include the following:

  • Medicals for pre-employment
  • Sports and driving requirements (HGV, PSV etc.)
  • Insurance claim forms
  • Holiday cancellation forms
  • Pre-employment health forms
  • Prescriptions and/or Letters for taking medication abroad
  • Letters "To Whom it May Concern", eg fitness to use a gym
  • Forms/letters regarding collection of rubbish
  • Private sick notes
  • Vaccination certificates

List of fees for non-nhs patients services

  • Please note we do not sign passport forms or verification of identity.
  • We would normally ask you to allow 4-6 weeks for completion of forms and letters such as those listed above as these are not classed as a clinical priority.
  • 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.
  • Fees payable by cash, cheque or bank transfer (no credit/debit card facility)


  • Short insurance claim form £30.00
  • Insurance form (eGPR only) £55.00
  • Insurance form (form with report) £104.00
  • Supplementary insurance report £27.00
  • Holiday insurance claim form £30.00

Medical Certificates

  • List of medications/vaccinations (signed by GP) £18.00
  • Private prescription (including anti-malarial and Hepatitis B) £20.00
  • Certificate of Freedom from Infection £30.00
  • Yellow Fever Vacc. & Cert. (Practice patient) £85.00
  • Yellow Fever Vacc. & Cert. (Non-practice patient) £110.00
  • Re-issue Yellow Fever or Exemption Certificate £18.00
  • DNA Swab £65.00


  • Short Driving Medical Report eg Elderly Driver (with examination) £55.00
  • Driving Medical Report eg LGV, PCV, Taxi (without examination) £55.00
  • Driving Medical Report eg LGV, PCV, Taxi (with examination) £98.00


  • Employment or pre-employment medical report (without examination) £89.50
  • Employment or pre-employment medical report (with examination) £133.00
  • Records only (Defence Medicals) £50.00
  • Form only (no report) £30.00


  • Fitness to Travel letter, form or certificate (without examination) £30.00
  • Fitness to Travel letter, form or certificate (with examination) £55.00
  • Scuba Diving PADI Medical Statement £30.00
  • Medical report for college/sport/leisure (without examination) £89.50
  • Medical report for college/sport/leisure (with examination) £133.00


  • Fostering medical £52.00
  • AH2 fostering update form £24.36
  • Surrogacy form £25.00


  • Witness Power of Attorney £56.00
  • Mental capacity assessment (PoA report) (without examination) £90.00
  • Mental capacity assessment (PoA report) (with examination) £120.00
  • Court of Protection CP3 (without examination) £90.00
  • Court of Protection CP3 (with examination) £120.00


  • Any other form (short) £30.00
  • Any other medical report (without examination) £89.50
  • Any other medical report (with examination) £133.00
  • Private sick note £30.00
  • Miscellaneous letter / To Whom It May Concern letter: Fee may be waived depending on circumstances (eg for housing, benefits, disability applications etc) £30.00
  • Assisted Waste Collection (Veolia) form £2.00
  • Firearms/Shotgun Certificate Medical Report  (Please allow 4-6 weeks for completion) £98.00
  • Ofsted Health Declaration £86.00

Patient access to records

  • Copy of records under GDPR 2018 (Subject Access Request): Patient or representative to submit request in writing (letter or email). Requests can take up to 28 days Free
  • Further copies of records already provided 35p per sheet
  • Copy of results, immunisations, medications, clinic letters etc Free

Overseas Visitors (Requiring non-emergency treatment)

  • Consultation with GP - 15 minute appointment £40.00
  • Consultation with GP - per hour thereafter £140.00 per hour
  • Home Visit £140.00 per hour
  • Prescription (plus cost of medication) £20.00
  • Vaccination (plus cost of vaccine) £35.00
  • Vaccination Certificate £20.00

Why do GPs sometimes charge fees?

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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