Private Non-NHS Work Fees

About Charging Fees

The NHS provides most health care free of charge. However there are a number of other services for which fees can be charged. These are mainly for services not covered by the NHS, such as medical reports for insurance companies.

Doctors are involved in a whole range of non-medical work, largely on the basis that they occupy a position of trust within the community, and are in the position to verify the accuracy of information. If a GP signs a certificate or completes a report, it is a professional duty that s(he) checks the accuracy of such information. This may involve examining the patient's entire medical record.

What Certificates Do I Have to Pay For?

There are a number of certificates which GPs are obliged to provide free of charge. These include certain certificates supporting claims by patients for social security benefits.

If a patient is off work for seven days or less the GP does not have to provide a sick note. A patient can be refused a note or charged for a private one for illnesses of seven days or less.

Fees For Medical Reports, Letters, etc

(Updated July 2018, reviewed under GDPR and DPA legislation. Subject to change without notice by the Practice)

Access to records
under Data Protection Act

Who pays

Charge

Computerised records

Patient (* = subject to non excessive requesting - if request is deemed excessive then an administration charge can be levied)

Free*

Manual records or combination of manual/computer records

Patient/Solicitor (* = subject to non excessive requesting - if request is deemed excessive then an administration charge can be levied)

Free*

Administration Charge for sending by recorded delivery

Patient /Solicitor

£8.00

Adoption and Fostering

Who pays

Charge

Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency

Form IHA Initial Health Assessment

 

£58.12

Forms M, B Obstetric Neonatal reports

 

£44.95

Forms C, D, YP or AME Full examination of child

 

£97.91

Form AH Health assessment, Prospective carer

 

£73.86

Form AH2 Update report, parent/carer

 

£24.36

Childminder (Ofsted health declaration booklet)

Patient/Employer

£56.25

Examination of children in /for care-first exam

Subsequent exam

 

£37.99

£24.36

Freedom from infection for children for care

 

£24.36

Attendance allowance/disability living allowance

Who pays

Charge

GP factual report

DWP

£33.50

DS1500

DWP

£17.70

Blue Badge & Freedom Pass schemes

Who pays

Charge

Report only

Local authority

£25.15

Examination and report

Local authority

£39.22

Letter of Appeal against adverse decision

Patient

£15.00

Certificates and forms

Who pays

Charge

Lasting Power of Attorney - Property and Financial Affairs

Patient

£40

Lasting Power of Attorney - Health and Welfare

Patient

£40

Application For Naturalisation as a British Citizen - form AN from the UK Border Agency

Patient - bring photograph

£20.00

Criminal injuries compensation report on pro forma

Criminal Injuries Authority

£38.00

Freedom from infection certificate

Patient

£15.00

Letter re fitness to exercise, travel etc

Patient

£15.00

Passport application (including counter-signing photograph)

No longer done.

Due to change in regulations from Passport and Identity Service, the practice can no longer countersign passport applications.

Date 27.10.2012

No longer done

Private Sick Note (any sick note within 7 days is private)

Patient

£10.00

Provident Association claim form (e.g. BUPA/PPP)

Patient

£25.00

School fees insurance claim form

Patient

£25.00

Fitness to attend state school

Local authority

£25.15

Fitness for sport, school, university, etc

Patient

£15.00

Health Certificate to attend university, college, teacher and nurses training

Patient/Employer

£70.00

Dentists, completion of Application for first registration of a dentist (GDC)

Patient

£70.00

PADI Fitness for Diving Medical Statement

Patient

£45

Driving

Who pays

Charge

Full physical medical examination and report, eg HGV, PSV, some minicab applications (GP will confirm fee on sight of application form)

Patient

£110.00

Limited physical examination (eg BP check & Vision check) with report eg London Taxi & Private Hire Medical Declaration (GP will confirm fee on sight of application form)

Patient

£75.00

Report no examination (20 to 30 mins)

Patient

£60.00

Extract from records (15 mins)

Patient

£56.00

Report to DVLA with examination

DVLA

£40.00

Report to DVLA No examination

DVLA

£23.00

Seat belt exemption

Patient

£70.00

Eelderly driver certificates

Patient

£70.00

Driving licence photograph

Patient

£25.00

PCV/LGV driver

Patient/Employer

£90.50

Local Authority PCV/LGV driver

Local authority

£90.50

Employment - Private

Who pays

Charge

Full medical with report or certificate (private/insurance - 45mins)

Patient/Employer/Insurance

£169.50

Report without examination (private/insurance -30mins)

Patient/Employer/Insurance

£109.50

Report on Pro-forma (20mins)

Patient/Employer/Insurance

£73.50

Extract from records (no examination with opinion -15 min)

Employer

* Free as part of subject access request with patient consent. Reports with opinion are chargeable.

£55.00 *

Certificate of Incapacity - this can include at the GP's discretion - a To Whom It May Concern letter with brief details of a patient's medical condition

Patient

£25.00

Employment - Local Authority/Police/NHS

Who pays

Charge

Shotgun or Firearms Medical Report

Patient

£25

Police/Local Authority medical exam, certificate, opinion

Local Authority

£109.50

Local Authority/Police: report without examination (30 mins)

Local Authority

£74.50

Extract from records (no examination with opinion -15 min)

Local Authority

* Free as part of subject access request with patient consent. Reports with opinion are chargeable.

£37.50*

LA/Police Medical for higher grade appointment

Local Authority

£109.50

NHS Employee Prospective

Local NHS Body

£39.22

Fireman's Medical Examination

Fire Master

£109.50

Fireman's Medical Examination for Continuation of part time FM

Fire Master

£109.50

Extract from records

Who pays

Charge

Private (15 mins)

Employer

£55.00

Government /Local authority

 

£33.00

Fitness for sport, school, university, etc

Who pays

Charge

Examination and report

Patient/Insurance company

£132.00

Extract from records 15mins

Patient/Insurance company

£55.00

Short Certificate of Incapacity

Patient/Insurance company

£15.00

Local Authority

Who pays

Charge

Work in Surgery 2 ½ to 31/2 hours

Local Authority

£402.50

Work in Surgery Short session 1 hour

Local Authority

£134.00

Work out of Surgery 2 ½ to 31/2 hours

Local Authority

£201.50

Work out of Surgery short session 1 hour

Local Authority

£67.50

Lecture to the public

Local Authority

£58.56

Emergency Visits 9AM to 8PM

Local Authority

£25.68

Emergency Visits 8PM  to 9AM

Local Authority

£52.06

Council tax Certificate of severe impairment

 

Free

Insurance (Sickness)

Who pays

Charge

Examination and report

Insurance Company/Patient

£169.10

Extract from records (15 mins)

Insurance Company/Patient

£56.00

Certificate of Incapacity

Insurance Company/Patient

£15.00

Insurance Claim form completion

Patient

£26.00

Insurance (Accident)

Who pays

Charge

Examination and report

Insurance Company/Patient

£148.00

Report without examination. Medical opinion to be included at GP's discretion.

Insurance Company/Patient

£98.50

Report on pro forma (20 mins)

Insurance Company/Patient

£66.00

Extract from records

Insurance Company/Patient

£49.00

Short certificate

Insurance Company/Patient

£14.50

Life Assurance

Who pays

Charge

GP examination own patient

Insurance Company

£92.50

GP report no examination

Insurance Company

£84.00

GP supplementary report

Insurance Company

£21.50

Certificate of Existence

Patient

£15.00

BUPA, PPP, WPA, Private medical insurance (PMI)

Who pays

Charge

Report on prospective subscriber PMI – Extract from records

Insurance Company

£56.00

Complete/sign GP authorisation form 

Patient

£10

Full medical exam and report

Insurance Company

£169.50

Mental Capacity Certificate

Who pays

Charge

With examination

Solicitor/Guardian

£110.50

No examination

Solicitor/Guardian

£55.00

Mental Health Psychiatric Examination- non specialist fee

Local Authority

£53.76

Private Medical Examinations and Reports

Who pays

Charge

To Whom It May Concern Letter in Support of Rehousing

Patient

£20

Report for Solicitor - 10 working days

Solicitor

£97.50

Report for Solicitor - 2 working days (express)

Solicitor

£124.50

Full examination with report or certificate, eg Candidate for the Priesthood Medical Examination Report

Patient/Employer/Insurance

£141.10

Government Department

Government Department

£60.00

Report no examination

Private (30 mins)

Patient/Employer/Insurance

£113.00

Report on Pro-forma (20mins)

Patient/Employer/Insurance

£70.00

Extract from records

Private (15 mins)

Patient/Employer/Insurance

£56.00

Travel Abroad

Who pays

Charge

Pregnant Woman's Medical Certificate Attesting Fitness to Fly noting their good health and indicating the baby's expected date of birth

Patient

£15

Fitness to travel certificate - pre-existing illness

Patient

£27.00

Prescription for drugs required solely for purpose e.g. Malaria tab

Patient

£13.50

Vaccination certificate

Patient

£16.50

Holiday cancellation simple certificate

Insurance Company/Patient

£15.00

Holiday cancellation insurance claim

Insurance Company/Patient

£26.00

Simple letter detailing prescription medicines with Surgery stamp

Patient

£10.00

Treasury Rates

Charge

Extract from records

 

£42.00

Report written (eg 45 mins)

 

£128.00

Medical examination and report/complex
written report and opinion (eg 60 mins)

 

£169.50

Sessional fee (eg 3 hrs) .

 

£339.50

Treasury rate  for Work in surgery

Extract from records

 

£37.50

Report on pro forma (eg 20 mins)

 

£49.00

Report written (eg 30 mins)

 

£74.50

Medical examination and report in surgery (eg 45 mins)

 

£109.50

Session (eg 3 hours)

 

£442.50

Treasury rates are applicable to: AXA/PPP Healthcare Occupational Health Services Ltd, Department for Education and Skills (DfES), Department for Work and Pensions (Disability Support Division), Department of Trade and Industry (Coal Liabilities), Highlands and Islands Airport uthority (HIA), NHS Pensions Agency, Northern Ireland Civil Service Occupational Health Service.