Non-NHS services Fees list

Detailed below is a list of our charges for services that are not provided by the NHS.  If you have any questions about these services, or the charges that we have set, please contact the Patient Services Manager who will be happy to help you. We have added some frequently asked questions to this page which you may find helpful.

Non-urgent advice:

All Non-NHS Services payments need to be paid prior to any work being carried out.

Certificates / Letters

  • GP Letter (e.g.: extra time for exams, adjustments to the workplace, to whom it may concern letter (discretionary) etc) £45.00
  • Simple Form / Signature £25.00.

Reports Without Examination

  • Holiday cancellation report £60.00
  • Firearms Licence Report £250.00
  • Solicitors Report £138.00
  • Employers/Occupational Report £138.00 (Request from Company).

Medical Examinations with Reports

  • Taxi / PSV / HGV Medicals £135.00
  • Adoption/Fostering Medical – Please contact for pricing
  • All other medical examinations with report £135.00
  • Power of Attorney / capacity assessment with report £184.00.

Non-urgent advice:

We do not provide letters or certificates for the list of items below.

Fitness to FlyFitness to Fly if Pregnant  
Forms for TV ProgrammesCamp America  
Fitness to do a JobLetters to state fit for Lighter Life or Slimming World
Fitness to undertake extreme sportsScuba Diving, Sky Diving, Climbing Certificates, Skiing Holidays, Coasteering,
Fitness to undertake Extreme Adrenaline Adventure HolidaysSnow Boarding, Deep Sea Diving, Horse Riding holidays, Trekking across the Sahara etc
Fitness to go on a school tripLetter to support requiring golf buggy whilst golfing
Blue badge RequestsPassports  

Your Questions Answered

Isn’t the NHS supposed to be free?

The NHS provides most health care to most people free of charge, but there are some exceptions for example: medicals completed by the GP, medical reports for insurance companies etc.

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, for example: employees, heat and light like any other small business. The NHS covers these costs for NHS work but not for non-NHS work. The fee charged for non-NHS work therefore goes towards covering these costs.

What is covered by the NHS and what is not?

The Government contract with GPs covers medical services to NHS patients. In recent years more and more organisations have been involving GPs in a wide range of non-medical work. Sometimes the only reason that GPs are asked to be involved is because they are in a position of trust in the community or because an insurance company, employer or solicitor wants to be sure that information that you have provided them with is accurate and true.

So, what sort of thing will I be charged for?

As an example, there will be a charge for medical reports for insurance companies or mortgage applications.  Forms that need completing because you have had to cancel your holiday will incur a charge. Questionnaires that need completing for personal reasons will incur a charge as will a letter that may be required if you want to leave a private gym for health reasons.

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

The BMA has in the past provided guidance for GPs in setting their fees. This is less common now and GPs are able to set their own fees to ensure that their costs in delivering the services are covered. Time spent completing private reports and undertaking private medical examinations are generally done outside of normal working hours as an extra commitment to a GPs workload.

I only need a doctor’s signature – what’s the problem?

When a doctor signs a certificate or a report, they can only sign for what they know to be true and accurate. In order to complete even the simplest of forms the Doctor will need to check the patients medical record. Carelessness or an inaccurate report can have serious consequences for the Doctor as well as the patient.

How long will I wait for a report?

A Doctors priority will always be the care provided for patients under the NHS. The work described here that is non-NHS work is often carried out outside of normal working hours and the waiting time is therefore affected. We state up to a maximum of 6 weeks for completion of any reports/certificates.

How much will I be charged?

Please see the list of charges for the most common services at the top of this page

Payment for services can be made by cash, credit / debit card or bank transfer at either of our surgeries (Danebridge Medical Centre / Kingsmead Surgery). A receipt will be provided on all occasions.

If the service, you require is not on the list please contact our Patient Services Manager to arrange a quotation.