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Non-NHS work

Fees for Non-NHS services from 1st August 2024

  • All payable in advance
  • Fees based on length of time to review records and complete
  • Chargeable at £60 per 30 minutes
  • We do not countersign passports or complete firearms licence reports.

Fees and Charges for Non NHS work

Why Fees are charged

The Government’s contract with GP’s covers medical services to NHS patients however in recent years more organisations have been involving doctors in non-medical work. GP’s are usually asked because they are in a position of trust in the community or because an insurance company, employer or public body wants to ensure that the information provided to them is true and accurate. The following Questions and Answers are taken from advice by the British Medical Association (BMA) to help patients understand the fees charged by GP’s.

Do GP’s have to complete non NHS work for their patients?

With certain limited exceptions such as confirming that a patient is not fit for jury service GP’s do NOT have to carry out non NHS work. Many GP’s however will always attempt to assist their patients with this work.

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

Time spent completing forms and preparing reports takes the GP away from the medical care of patients. GP’s have an ever increasing workload of forms which must be prioritised against offering appointments.

I only need the GP’s signature, what’s the problem?

When a GP signs a certificate, completes a report or writes a letter it is a condition of remaining on the medical register (which allows them to practice as a doctor) that they only sign what they know to be true. To complete even the simplest of forms the GP may have to check a patient’s entire medical record.

Carelessness or inaccuracy can have serious consequences for the doctor with the general medical council (the doctor regulatory body) or even the police.

Who sets the fees and why do some doctors charge different fees?

The BMA suggests fees that may be charged in certain circumstances; however these are intended for guidance only. Doctors are not obliged to charges the rates suggested by the BMA and the fees will generally reflect the amount of work and time involved.

What notice is needed for completion of reports and letters?

Due to NHS work taking priority private work often takes 6 weeks’ to complete. Where a patient has an urgent request this should be explained to the practice team member who will note the request, however it is not always possible for other more clinically urgent work to be delayed.

Certificates and forms

Letter for taking Meds on Plane                        Free

School / Uni Health Report                                £30.00

Housing Letter                                                     £30.00

Private Letter / TWIMC                                      £40.00

Private Prescription for Travel                           £25.00

Fitness to Exercise Certificate                             £50.00

Overseas Pension Form                                       £40.00

Children Letter for Ballet / Stage etc.               £50.00

Private Sick Certificate                                        £40.00

Freedom from Infection Certificate                  £30.00

Fitness to Fly Letter/ Wheelchair access          £40.00

Cancellation Holiday Form / Letter                   £80.00

Sickness / Accident Insurance Form                 £80.00

Ofsted Health Report                                          £80.00

Police Medical Simple/Complex                       £70.00/£120.00

Medical examinations and reports – to be booked by admin

Power of Attorney Form (in Surgery)              £100.00

Power of Attorney Form (Home Visit)            £150.00

HGV                                                                      £120.00

All Taxi Medicals and Bus Medicals                 £120.00

Pre-employment Medical                                  £150.00

(Including elderly driver fitness to drive)

Please allow 6 weeks for all completed requests.

Page published: 22 November 2023
Last updated: 11 June 2025