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.
Our fees for these services, which are in line with BMA approved national guidelines, are shown below. Please note these fees are payable in advance of the work being undertaken. We regret that if you fail to attend an appointment (or, fail to bring any samples or documentation required to enable the clinician to complete his examination and/or report), and another appointment then becomes necessary, the fee will be payable again in full.
The Practice also house a number of Complementary Practitioners. These include Counselling and Reflexology (whose services include Aromatherapy and Massage). Whilst these practitioners are practising from within our premises, they are NOT part of the NHS and engaging their services will incur a private fee. Our doctors are happy to refer patients to them but the cost is to the individual.
Chargeable Fees for Non-NHS Services – 2020
|Description||Fee||VAT (20%)||Total Price|
|Elderly Driver Fitness Certificate||£45.00||£9.00||£54.00|
|New Driving Licence Form (Photo)||£20.00||£4.00||£24.00|
|Elderly driver fitness certificate||£25.00||£5.00||£30.00|
|Private Sick Note (within 7 days of sickness)||£20.00||£4.00||£24.00|
|Signature with Practice stamp||£12.50||£2.50||£15.00|
|Simple form, Insurance Claim Form, Police Form, no examination||£33.33||£6.67||£40.00|
|Proforma report or extract from records, no examination (20mins) (insurance)||£66.67||£13.33||£80.00|
|Fitness to participate||£42.00||£8.40||£50.40|
|Childminder (OFSTED) report||£45.00||£9.00||£54.00|
|Sickness/Accident/ Insurance Form||£45.00||£9.00||£54.00|
|Employment Medical Report (with examination)||£125.00||£25.00||£150.00|
|Employment Medical Report (without examination)||£85.00||£17.00||£102.00|
|Private Medical Examination and/or report|
|Private Medical Claim Forms (BUPA/PPP)||£30.00||£6.00||£36.00|
|X-Rays – Diagnostics etc||P||Variable|
|Private consultation (per hr)||£134.00||£26.80||£160.80|
|Private Prescription||Nil||As per BNF|
|Access to Medical Records|
|Patient access to notes (online)||Nil|
|Photocopying||£0.50 per sheet||Nil|
|Hep B (for employment purposes only)||£90 (course of 3)||£18.00||£108.00|
|Rabies Sanofi||£196.25(course of 3)||£39.25||£235.50|
|Japanese Encephalitis||£210.50(course of 2)||£42.10||£252.60|
|£156.50 (course of 3)|
|Tickbourne Encephalitis (Adult)|
|£108.50 (course of 2)|
|Malarone||£2.50 Per tablet||£0.50||£3.00|
|Doxycycline||£1.00 Per tablet||£0.20||£1.20|
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
- Passport signing
- Prescriptions for taking medication abroad
- Private sick notes
- Vaccination certificates
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.