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 out any non-NHS work. Many GPs however will always attempt to assist their patients and carry out this work where possible and time allows.

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 but on occasion this can take longer.

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.

Fees for non NHS service from 25th May 2018

Doctor's Report / Certificate / Form with no exam

Private prescription £20.00
Straightforward simple certificate of fact £18.00
More complex certificate of fact £30.00
Vaccination report/certificate £30.00
Sickness/accident benefit claim form
Sick note – private medical certificate £30.00
Letter re attendance at school activities £30.00
Letter re Housing/Social/benefit claims £30.00
Passport application £50.00
Driving license £40.00
Holiday cancellation form
Insurance claim form, eg school fees £30.00
Freedom from infection certificate £30.00
Insurance proposal forms – no exam £89.00
Employment report and opinion £125.00
Seafarers/Boatmans Medical £125.00
Trinity Sailing Medical £125.00


Medical Examinations and Reports
Fee for medical consultation (private patient per hour) £250.00
Pre-employment medicals, LGV, PCV, Elderly fitness to Drive certificate, Fitness to attend school, Seat Belt Exemption charged by appointment time (ie 30 minute appt is £125.00) 
Taxi Medical £90.00
Work taking 10 minutes £41.60
Extract from records  (15 minutes) £62.50
Pro forma report  (20 minutes) £83.30
Detailed written report  (30 minutes) £125.00
Comprehensive exam and report  (45 minutes) £187.50

Other Requests

The cost of other requests not listed will be based on time:
One hour £250.00
30 minutes £125.00
15 minutes £62.50

Other Charges

Patient access to their medical records - Copy of full records (SAR) - No Charge

Hep B for Occupational Health Purposes – £120 for the initial course of 3 vaccines and then £40 for the booster