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 for illnesses of seven days or less.
Fees For Medical Reports, Letters, etc
(Updated November 2019 reviewed under GDPR and DPA legislation. Subject to change without notice by the Practice)
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Access to records
under Data Protection Act
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Who pays
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Charge
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Computerised records
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Patient (* = subject to non excessive requesting - if request is deemed excessive then an administration charge can be levied)
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Free*
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Manual records or combination of manual/computer records
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Patient/Solicitor (* = subject to non excessive requesting - if request is deemed excessive then an administration charge can be levied)
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Free*
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Attendance allowance/disability living allowance
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Who pays
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Charge
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GP factual report
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DWP
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£33.50
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DS1500
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DWP
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£17.70
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Certificates and forms
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Who pays
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Charge
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Lasting Power of Attorney/Guardianship forms
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Patient
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£100.00
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Criminal injuries compensation report on pro forma
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Criminal Injuries Authority
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£38.00
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Freedom from infection certificate
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Patient
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£15.00
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Passport application (including counter-signing photograph)
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No longer done.
Due to change in regulations from Passport and Identity Service, the practice can no longer countersign passport applications.
Date 13/11/2018
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No longer done
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School fees insurance claim form
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Patient
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£25.00
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Fitness for sport, school, university, etc
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Patient
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£20.00
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Driving
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Who pays
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Charge
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Full physical medical examination and report, eg HGV, PSV, some minicab applications (GP will confirm fee on sight of application form)
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Patient
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£150.00
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Limited physical examination (eg BP check & Vision check) with report (GP will confirm fee on sight of application form)
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Patient
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£75.00
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Report no examination (20 to 30 mins)
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Patient
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£60.00
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Report to DVLA with examination
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DVLA
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£40.00
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Report to DVLA No examination
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DVLA
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£23.00
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Employment - Private
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Who pays
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Charge
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Full medical with report or certificate (private/insurance - 45mins)
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Patient/Employer/Insurance
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£133.00
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Report without examination single issue (private/insurance -30mins)
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Patient/Employer/Insurance
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£89.50
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Report on Pro-forma (20mins)
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Patient/Employer/Insurance
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£73.50
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Extract from records (no examination with opinion -15 min)
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Employer
* Free as part of subject access request with patient consent. Reports with opinion are chargeable.
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£55.00 *
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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
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Patient
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£25.00
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Insurance (Sickness)
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Who pays
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Charge
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Examination and report
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Insurance Company/Patient
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£133.00
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Extract from records (15 mins)
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Insurance Company/Patient
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£89.50
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Insurance (Accident)
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Who pays
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Charge
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Examination and report
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Insurance Company/Patient
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£133.00
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Report without examination. Medical opinion to be included at GP's discretion.
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Insurance Company/Patient
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£89.50
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Report on pro forma (20 mins)
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Insurance Company/Patient
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£66.00
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Extract from records
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Insurance Company/Patient
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£49.00
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Short certificate
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Insurance Company/Patient
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£15.00
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Life Assurance
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Who pays
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Charge
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GP examination own patient
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Insurance Company
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£133.00
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GP report no examination one issue
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Insurance Company
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£89.50
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GP supplementary report
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Insurance Company
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£29.50
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Mental Capacity Certificate
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Who pays
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Charge
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With examination
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Solicitor/Guardian
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£110.50
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No examination
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Solicitor/Guardian
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£55.00
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Mental Health Psychiatric Examination- non specialist fee
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Local Authority
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£53.76
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Travel Abroad
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Who pays
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Charge
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Vaccination certificate
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Patient
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£16.50
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Holiday cancellation simple certificate
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Insurance Company/Patient
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£20.00
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Holiday cancellation insurance claim
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Insurance Company/Patient
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£40.00
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Simple letter detailing prescription medicines with Surgery stamp
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Patient
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£10.00
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