Practice Fees

Why are fees charged?

The government’s contract 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.

Surely the doctor is being paid anyway?

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, etc – 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.

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

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

Why does it sometimes take my GP a long time to complete my form/letter?

Time spent completing forms & 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.

I only need the GP’s signature – what’s the problem?

When a GP signs a certificate, 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.


Description of Non-NHS Request / Work:

Fee Payable:

(From 1/4/2018)

 Access to notes (Reports Act 1990) Access Fee – computer only (minimum) £10.00
  Fees applicable only up to 25th May 2018         – paper records (maximum) £50.00
 Adoption – Parents medical report – same as letters / reports misc level 3 (if not set by company) £72.00
 Army Medical Report – same as letters / reports misc level 3 £72.00
 Court of Protection Order Assessment £90.00
 Driving – Elderly Drivers Medical £110.00
 Driving – LGV/PSV/HGV Medical (50% discount if unemployed) £110/£55
 Driving Licence – form and photo (at GP’s discretion) £28.00
 DS 1500 Dept. of Work and Pensions £17.00
 DVLA Report £40.00
 DWP DLA Factual Report £33.50
 Extra Information Request (follow up) £28.00
 Firearms Licence (Fee paid by patient) £37.00
 Fitness to Travel Certificate / letter £28.00
 Forms – small

( Bus pass / Travel meds / Council Tax etc)

 Forms – medium

(Housing Report / Claim forms / Holiday Cancellation / Ofsted / University etc)

 Fostering Medical £76.24
 HIV test – private £46.00
 Holiday Cancellation Certificate (report) £44.00
 Insurance Forms (medium) – PATIENTS request (Claim forms / Holiday canc.) £44.00
 Insurance Forms (medium) –      COMPANY request /level 3 letters £72.00
–                                                  Subsequent form £28.00
 Letters miscellaneous – Level 1

eg simple statements of fact EG.(TWIMC / OFSTED / UNIVERSITY)

 Letters miscellaneous – Level 2

eg professional opinion required inc housing, Holiday cancellation

 Letters/reports miscellaneous – Level 3

eg more complicated/lengthy letters/reports (Army, adoption, Seafarers, sports   medicals etc)

 Letters/reports miscellaneous – Level 4

eg more complicated/lengthy letters/reports for Insurance Companies and  Solicitors  –£20 per 5 minutes with a minimum fee of £100

 M.A.R (Medical Attendants Report) £110.00
 M.A.R (Medical Attendants Report) Extra report £28.00
 M.A.R (Medical Attendants Report) with Medical Exam £178.00
 OFSTED Childminding – Check and sign only £28.00
 Private Prescription, including for malaria medication £20.00
 Seafarers Medical £72.00
 Sick Note – private/certificate of attendance/school sickness certificate £28.00
 Sickness/accident report/ certificate – without exam £72.00
                                                         – With examination £178.00
 Solicitors reports – £20 per 5 minutes with a minimum fee of £100 £110.00
 Sports Medical £72.00
 Taxi Medical £110.00
 Travel documents with medication £28.00
 Vaccination Certificate £28.00

Please be aware that this list is not exhaustive. Any service required by patients which is not included in the General Medical Services contract and therefore provided privately may attract a fee.