Non NHS Fees

How much our non-NHS services cost

After receiving advice from the ICB safeguarding team and our medical indemnity, the practice has made the decision to no longer provide private letters for patients for the following circumstances: certificate to entertain, fitness to travel (GP letter/opinion), confirmation of a period of sickness (not including a sick note that is provided as an NHS service) and fitness to join a health club. We would advise that patient seek this through private services.

Why do we sometimes charge fees?

The NHS provides health care free of charge, but there are exceptions.

It is important to understand that GPs are self-employed and offer their services to the NHS and they have to cover their costs eg. staff, buildings, heating, lighting, etc. The NHS covers these costs for NHS work, but for non-NHS work.

The British Medical Association (BMA) suggests fees for non-NHS work which is not covered under a GP’s NHS contract. However, these fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested.

Why can it take a long time to complete a 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 NHS workload and this paperwork is done in around the patient care.

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.

What is the charge?

Please note that these fees are payable in advance and each request for a service will be charged individually.
Access to records – Please apply in writing.

Category 1  – Medical Reports with or without Examination  
Accident and Sickness Insurance Medicals- Employers

(comprehensive examination includes, report, certificate or form)

180.00
Medicals for Individuals,  all categories, including Drivers –

(examination, including report)

130.00
Report on a pro forma, no examination (eg 20 minutes) 89.00
Extract from medical record 67.00
   
Category 2 – Insurance Reports  
Insurance Report (no examination) 89.00
Insurance Report (additional questionnaire) 25.00
Or as stated by insurance company  
   
Category 3 – Short Medical Report (medico-legal or requires GP opinion)  
Firearms license (direct requests from West Yorkshire Police only) 40.00
   
Category 4 – simple Certificate, GP signature, statement of fact  
Insurance Certificate (Simple statement of fact) 20.00
Private Prescription 20.00
Holiday Cancellation 20.00
“To whom it may concern” letter 20.00
   
Category 5i – OVERSEAS VISITORS/PRIVATE PATIENT  
Consultation with GP 60.00
Consultation with a nurse (including taking bloods or giving an immunisation) 40.00
Cost of private blood test (obtain price from Nurse Manager) Actual
Cost of private vaccine (obtain price from finance office) Actual
Category 5iiPRIVATE TRAVEL VACCINATIONS  
(includes the cost of the vaccine + an administration fee)  
HepB 25.00
HepB – course of 3 70.00
Meningitis ACWY 30.00
   
Category 6 – DWP  
DWP Appeal Letter 50.00