Fees For Non-NHS Work

FAQs Regarding Private And Professional Fees For Non-NHS Work 

Below are a collection of Frequently Asked Questions (FAQs) regarding non-NHS work fees; followed by a table setting out the charges our GPs make for various services that fall into this category.

The information can be verified on the BMA website and, as with all information on our website, it is best to check with us to make sure that the prices given are current and correct.

 Isn’t the NHS supposed to be free?Top 

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.

Sometimes the charge is made to cover some of the cost of treatment, for example, dental fees; in other cases, it is because the service is not covered by the NHS, for example, providing copies of health records or producing medical reports for insurance companies.

 Surely the doctor is being paid anyway?Top 

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. The NHS covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs.

 What is covered by the NHS and what is not?Top 

The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. 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.
  • reports for health clubs to certify that patients are fit to exercise.
  • pre-employment medicals, as requested by employers.

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.
 Do GPs have to do non-NHS work for their patients?Top 

With certain limited exceptions, for example a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients.

Whilst GPs will always attempt to assist their patients with the completion of forms, for example for insurance purposes, they are not required to do such non-NHS work.

 Is it true that the BMA sets fees for non-NHS work?

The BMA suggests fees that GPs may charge their patients for non-NHS work (i.e. work not covered under their contract with the NHS) in order to help GPs set their own professional fees. However, the fees suggested by the BMA are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates they suggest.

 Why does it sometimes take my GP a long time to complete my form?Top 

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 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 (the doctors’ regulatory body) or even the Police.

 What will I be charged?Top 

The BMA recommends that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to individual doctors to decide how much they will charge, but the BMA produces lists of suggested fees which many doctors use. Surgeries often have lists of fees on the waiting room wall based on these suggested fees.

 What can I do to help?Top 
  • Not all documents need a signature by a doctor, for example passport applications. You can ask another person in a position of trust to sign such documents free of charge.
  • If you have several forms requiring completion, present them all at once and ask your GP if he or she is prepared to complete them at the same time to speed up the process.
  • Do not expect your GP to process forms overnight: urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.


VAT Registration Number 240694703

ServiceNet Tariff VAT Total
Insurance claim form Inc holiday cancellation (Simple)£18.00   £18.00
Insurance claim form Inc holiday cancellation (Complex)£30.00   £30.00
Repatriation/Medical treatment abroad claim£60.00   £60.00
Medical Certificates     
Certificate of freedom of infection£30.00 £6.00 £36.00
Certificate of Existance£30.00 £6.00 £36.00
Short driving medical report e.g. elderly driver[re for fitness to hold a licence] (with examination)£50.00 £10.00 £60.00
Short driving medical report e.g. elderly driver[re for fitness to hold a licence] (without examination)£30.00 £6.00 £36.00
Driving medical report e.g. HGV,LGV, PCV, Taxi (with examination)£100.00 £20.00 £120.00
Driving medical report e.g.HGV, LGV, PCV, Taxi (without examination)£50.00 £10.00 £60.00
Pre-employment medical report (with exam) to inform a decision to recruit.£130.00 £26.00 £156.00
As above but without exam.£80.00 £16.00 £96.00
Employment medical report (with exam) to provide medical cert ofincapacity to do particular activity£130.00   £130.00
Report without exam but with detailed opinion.£100.00   £100.00
Report without exam£80.00   £80.00
Fitness to travel with exam£100.00 £20.00 £120.00
As above but without exam e.g pre existing medical condition/pregnancy£30.00 £6.00 £36.00
Medical report for college/sport/leisure (with exam)£100.00 £20.00 £120.00
As above but without exam.£70.00 £14.00 £84.00
As above simple factual certificate£30.00 £6.00 £36.00
Letter detailing prescription medication£12.50 £2.50 £15.00
Travel vaccinations  certificate£15.00   £15.00
Adoption Prospective Parent£80.00 £16.00 £96.00
(Fostering paid by Agency)     
Witness power of attorney£45.00 £9.00 £54.00
Mental capacity assessment (power of attorney report) (with exam)£80.00 £16.00 £96.00
As above but without exam.£60.00 £12.00 £72.00
Court of protection CP3 (with exam)£100.00 £20.00 £120.00
Court of protection CP3 (without exam)£60.00 £12.00 £72.00
To whom it may concern’ letter  (Fit to….)£30.00  £6.00 £36.00
To whom it may concern’ letter  (Not Fit to….)£18.00   £18.00
Private sick note£18.00   £18.00
Housing needs£25.00  £5.00 £30.00
Ofsted Health Declaration£87.50 £17.50 £105.00
Jury Service Letter£0.00   £0.00
Fees correct as of 24.05.2018. Prices may change at anytime, so please contact us to confirm.