Non-NHS Fees

Certificates Straightforward certificates of fact £25.00
More complex certificates
Private sick note (incapacity certificate) required by patient for presentation to an employer except for those which the doctor is obliged to provide for statutory sick pay purposes
Validation of private medical insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form. £55.00
Accident or sickness insurance certificate – short certificate of incapacity without examination for patient to claim under accident or sickness insurance £50.00
Freedom from infection certificate e.g. for school, travel or employment £45.00
Health club brief written report to certify that a patient is fit for exercise (based on information in medical notes, issued at doctor’s discretion) £50.00
School fees and holiday insurance certificates £50.00
Note:  Passport forms are no longer done in this practice
Firearms – report for Police £55.00
HGV Medical (20 minute examination & report) £125.00
Comprehensive Medical & report (45 minutes) £220.00
Extract from records (15 minutes) £75.00
Pro Forma report, no examination (20 minutes) includes OFSTED £89.50
Adoption Report £78.44
Detailed written report, no examination providing a detailed opinion and statement on the condition of the patient (e.g. 30 minutes)

This could include:

·         Accident or sickness insurance to support a claim for payment of benefit under accident or sickness insurance policy

·         Employment report pre-employment, or report on an employee, requested by an employer.

·         Fitness for education to attend university, college, teacher and nurses training and, for dentists, completion of the form of application for first registration of a dentist issued by the GDC

·         Pharmaceutical trials report on suitability of patient to take part as non-patient volunteer

·         Private medical insurance: report on prospective subscriber to a private medical insurance (PMI) scheme (e.g. BUPA, PPP, WPA,etc)





Private Consultation Not offered
Private Blood Tests Not offered

Private blood tests (including tests requested following a private consultation with a specialist) – These are not offered by the NHS and need to be arranged by the private specialist

24 hr BP Not offered
ACCESS TO RECORDS, Subject Access Request, UNDER THE GDPR No charge (unless repeatedly requested   or excessive)


Access to Health Records, AHRA 1990 (deceased patient records) £10.00 plus copying charges


POWER OF ATTORNEY FORMS (Charge pro rata @ hourly rate) Not offered
Bus Pass Evidence Form £25.00
Fitness to travel certificate (based on information in medical notes, issued at doctor’s discretion) Not offered
Vaccination certificate £45.00
Holiday cancellation certificate £45.00
Administering private vaccines – per vaccination plus cost of vaccine £15
Menveo with certificate £77.50
Price on request.

Cost of  vaccine

administration fee

Jap B Ixiaro






£92.00 each vaccine

Jap B Ixiaro (Course of 2) £184.00
MEN ACWY £61.00
Rabies Rabipur £53.33 each vaccine
Rabies Rabipur (Course of 3) Estimated cost £160.00
Tick Borne Encephalitis Estimated cost £51.00 Adult each vaccine

Estimated cost £ 47.00 Child each vaccine

Tick Borne Encephalitis (Course of 3) Estimated cost £153.00 Adult

Estimated cost £141.00 Child

Hepatitis B Estimated cost £29.00 Adult

Estimated cost £25.00 Child

Hepatitis B (Course of 3) Estimated cost £87.00 Adult

Estimated cost £75.00 Child

For any other travel requirements please ask to speak with a Practice Nurse


Note: For patients registered with the practice the prices for vaccinations above are the same apart from Hepatitis B where there is no charge for those at risk e.g. due to their lifestyle or medical conditions.


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, providing copies of health records or producing medical reports for insurance companies.

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 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 fees charged by GPs contribute towards their costs.

What is covered by the NHS and what is not?
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.

Examples of non-NHS services for which GPs can charge their own NHS patients are:

  • accident/sickness certificates for insurance purposes
  • school fee and holiday insurance certificates
  • reports for health clubs to certify that patients are fit to exercise

Examples of non-NHS services for which GPs can charge other institutions are:

  • life assurance and income protection reports for insurance companies
  • reports for the Department for Work and Pensions (DWP) in connection with disability living allowance and attendance allowance
  • medical reports for local authorities in connection with adoption and fostering

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.

Is it true that the BMA sets fees for non-NHS work?
The BMA suggests fees that GPs may charge their patients for non-NHS work (ie work not covered under their contract with the NHS) in order to help GPs set their own professional fees. However, the fees suggested by the BMA are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates we suggest. GP fees suggested by the BMA.

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 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 (the doctors’ regulatory body) or even the Police.

What will I be charged?
The BMA recommends that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to individual doctors to decide how much they will 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 a 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 at the same time to speed up the process.
  • Do not expect your GP to process forms overnight: urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.


© British Medical Association 2010