Services which are out with NHS contract
The National Health Service provides most health care to most people free of charge, but there are exceptions. GPs are self employed and contract to provide NHS general medical services for their patients.
Sometimes, GPs are asked to provide additional services, which fall outside their contract and in these circumstances, they are entitled to make a reasonable charge for providing them.
Your Questions answered
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: For example medical reports for insurance companies
Surely the doctor is being paid anyway?
It is important to understand that 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 fee has to cover the doctor’s costs.
In recent years, 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 be sure that information provided is true and accurate.
Examples of non-NHS services for which GPs can charge their NHS patients are:
- accident/sickness insurance certificates
- certain travel vaccinations
- private medical insurance reports
- Statements of fact relating to general health e.g. for children’s dance classes,
- Letters requested by, or on behalf of, the patient
- Holiday cancellation claim forms
- Referral for private care forms
Examples of non-NHS services for which GPs can charge other institutions are:
- medical reports for an insurance company
- some reports for the DSS/Benefits Agency
- examinations of occupational health
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 – the majority work up to 70 hours a week – 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 or even the Police.
What can I do to help?
- If you have several forms requiring completion, present them all at once.
- Do not expect your GP to process forms overnight:
Examples of Non-NHS Services include the following:
- Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
- Insurance claim forms
- Prescriptions for taking medication abroad
- Private sick notes
- Vaccination certificates
The table below lists the Charges that this practice applies. Unfortunately, in order to be fair to all patients, there are no exceptions to the charges.
For more complex reports or requests please ask at reception.
Please allow 5 to 10 to working days for completion or longer if the GP is on holiday.
|Private Sick Notes||£18.00|
|Simple Letter/ Certificate||£18.00|
|Freedom from infection certificate||£18.00|
|Fitness to travel/Fly certificate||£18.00|
|Fit for gym / exercise||£18.00|
|Exemption from Jury Duty||No fee|
|Fitness to Dive Form||£20.00|
|BUPA & PPP Forms||£40.00|
|Firearms/ Shotgun Response Certificate||£40.00|
|Firearms / Shotgun Medical Report (Without Examination)||£110.00|
|Firearms / Shotgun Medical Report (With Examination)||£170.00|
|School Fees Insurance Claim||£40.00|
|Sickness/Accident Claim Form||£40.00|
|Health Club – Patient fit to exercise report||£40.00|
|Fitness to Drive DVLA||£40.00|
|Employer’s Examination report & Opinion||£110.00|
|Insurance General Practitioners Report||£102.20|
|Insurance additional Information Form||£26.57 (Depending on info given)|
|Insurance report on pro forma questionnaire||£74.50 – £86.00|
|Section 2 of mental health act||£168.95 (Claim sent by practice)|
|Medicals requiring examination / Employment medicals* eg LGV, PCV, HGV, taxi driver, elderly driver, fitness (30 minutes,) certificate, fitness for sport, fitness to attend school||£110.00|
|Medical Report by GP Dictated and typed||£65.00-£110.00|
|Short Medical Report Requested by patient||£40.00-£65.00|
|Detailed written report, (30 minutes)||£110.00|
|Proforma report, no exam (20 minutes)||£90.00|
|Extract from records||£70.00|
|*NHS Occupational Medical||£45.00|
|Local Authority Occupational Medical||£90.00|
This £25.00 fee covers the time required to review your travel itinerary, check your previous vaccinations / medical history and establish what the current recommendations are for travel to your destination. The fee also covers any private prescriptions and specific advice you may need. The Pharmacist will charge a separate fee for the vaccines or medication not provided on the NHS. Private prescription for travel (without travel clinic appointment) £20.00
|Travel clinic fee per person 16 yrs and over||£25.00|
|Hep B Vaccination for Full Course||£50.00 (payable to the practice)|
|Hep B Lab Fees||£40.00 0 £50.00 (payable to Lab)|
|Hep B Private Prescription||£60.80 (Estimate) – payable to pharmacy|
|Childminder Declaration Form – ofsted||£45.00|
|Fitness to Return to Work/Report||£45.00|
|Fitness to Undertake Employment||£45.00|
|Witnessing Power of Attorney||£45.00|
(Patients not normally resident in the UK, and without non-reciprocal agreement)
|Single consultation – first appointment||£80.00|
|Single consultation – review appointment||£45.00|
|Private Blood Test Phlebotomy appt (Plus NHS Laboratory fee)||£20.00|
Work Experience/Travel Medicals(including Project Trust and Camp America)
Please note: Charges for these services may vary as different organisations may have different requirements.
|Medical Report with brief examination (one appointment)||£45.00|
|Medical Report with full examination||£135.00( For 30 minutes charged pro-rata)|