What is non-NHS work and why is there a fee?
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.
The Government’s contract with GPs covers medical services to NHS patients but not non-NHS work. 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.
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
- Private prescriptions for travel purposes
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 copies of records for solicitors
The fees charged are based on the British Medical Association (BMA) suggested scales and our Care Navigation team will be happy to advise you about them along with appointment availability.
Fees for Non-NHS Services October 2023 are as follows:
Certificates and Forms |
|
| MEDICAL INSURANCE CLAIM FORM e.g. BUPA/PPP | £70.00 |
| HEALTH CLUB FITNESS TO EXERCISE LETTER | £65.00 |
| TO WHOM THIS MAY CONCERN LETTER REQUEST FROM PATIENT –no assessment/examination | £30.00-£90.00 |
| TO WHOM THIS MAY CONCERN LETTER REQUEST FROM PATIENT – with assessment/examination | £140.00 |
| BUS PASS | £30.00 |
| SCHOOL FEES INSURANCE CLAIM FORM | £70.00 |
| FREEDOM FROM INJECTION CERTIFICATE | £55.00 |
| SICKNESS/ACCIDENT INSURANCE BENEFIT CLAIM FORM – no examination | £60.00 |
| HOUSING/COUNCIL LETTER | £25.00 |
| CHILD ENTERTAINMENT FORM | £55.00 |
| FIREARMS/SHOTGUN LICENSE – no examination | £89.00 |
| CRIMINAL INJURIES COMPENSATION AUTHORITY | £50.00 |
| CLINICAL TRIALS | £45.00 |
Private Consultations: |
|
| PRIVATE SICK NOTE | £50.00 |
| PRIVATE CONSULTATION (OVERSEAS RESIDENTS) double appointment | £75.00 |
Travel Vaccinations: |
|
| Non-NHS travel vaccinations/antimalarials not available at the surgery. | |
| HOLIDAY CANCELLATION FORM | £65.00 |
| PATIENT TAKEN ILL ABROARD – REPORT | £90.00 |
| FITNESS TO TRAVEL CERTIFICATE – no examination | £70.00 |
| FITNESS TO TRAVEL CERTIFICATE – with examination | £150.00 |
Medical Examinations and Reports: |
|
| TAXI/HGV/GROUP 2 MEDICAL | £140.00 |
| FITNESS FOR SPORT – no examination | £65.00 |
| FITNESS FOR SPORT – with examination | £150.00 |
| FITNESS TO DRIVE – no examination | £60.00 |
| FITNESS TO DRIVE – with examination | £110.00 |
| FITNESS TO PERFORM – no examination | £55.00 |
| FITNESS TO PERFORM – with examination | £80.00 |
| DVLA QUESTIONNAIRE – no examination | £40.00 |
| DVLA – with examination | £85.00 |
| SR1 (previously DS1500) | NO CHARGE |
| DWP REPORT | NO CHARGE |
| CAPITA/MINISTRY OF DEFENCE | £65.00 |
| SPECIAL CONSTABLES | £35.00 |
| ADOPTION MEDICAL | £120.00 |
| OFSTED/CHILDMINDING | £105.00 |
| MEDICAL REPORT PROFORMA FOR GENDER RECOGNITION | £90.00 |
| COURT OF PROTECTION – no examination | £75.00 |
| COURT OF PROTECTION – with examination | £170.00 |
| MENTAL CAPACITY ASSESSMENT/POWER OF ATTORNEY FORMS – no examination | £85.00 PER FORM |
| MENTAL CAPACITY ASSESSMENT/POWER OF ATTORNEY FORMS – with examination | £250.00 |
Insurance Company/Employer Medical Reports: |
|
| INSURANCE – GPR | £104.00 |
| INSURANCE – with examination | £160.00 |
| TARGETED REPORT – SINGLE CONDITION | £80.00 |
| EXTRA INFORMATION | £40.00 |
NHS App
Owned and run by the NHS, the NHS App is a simple and secure way to access a range of NHS services on your smartphone or tablet – including ordering prescriptions and viewing booked appointments.
Online consultations allow you to input information so your doctors can triage your concerns and offer the right care. Once completed we will get back to you within 2 working days, if not sooner.
NHS App
Owned and run by the NHS, the NHS App is a simple and secure way to access a range of NHS services on your smartphone or tablet – including ordering prescriptions and viewing booked appointments.
Online consultations allow you to input information so your doctors can triage your concerns and offer the right care. Once completed we will get back to you within 2 working days, if not sooner.
Helpful links to guides from the NHS
NHS
HEALTH A to Z
Guide to conditions,symptoms & treatments
NHS
LIVE WELL
Advice, tips and toolsfor health & wellbeing
NHS
MEDICINES GUIDE
How medicine works& possible side effects
NHS
care & support
Options & where toget the best support
Know who to turn to for your healthcare
We want to help you get the right medical assistance when you’re ill, injured or have a long term condition. Going directly to the person with the appropriate skills is important. This can help you to a speedier recovery and makes sure all NHS services are run efficiently.
NHS 111 is available 24 hours
a day, 7 days a week.
If it is an emergency call 999.
PHARMACIST
When you need healthcare advice or help with medicines
OPTICIAN
Sudden loss of vision. Blurred vision. Painful or red eyes?
DENTIST
When your mouth or teeth need urgent attention
NHS OUT-OF-HOURS
When your GP and local pharmacy are closed
MINOR INJURY
You will usually need a GP referral, except in an emergency.
ACCIDENT & EMERGENCY
When an illness or injury is serious or life-threatening
DID YOU KNOW?
If you’re feeling under the weather but aren’t sure what it could be, an online symptom checker can help you identify whether you need to seek immediate medical attention.