Private Fees for Non-NHS Services
The NHS provides certain services which GPs offer and for which we are paid to offer by the NHS. However, there are many things which patients request from GPs which are not covered by this. GPs do not have to carry out non-NHS work on behalf of their patients. However, we undertake some work as we appreciate that this service is valuable and of use to patients. Non-NHS services are chargeable.
Examples of non-NHS services for which GPs can charge their NHS patients are:
- Accident / sickness claim forms
- Adoption / fostering / special guardianship medical reports
- Confirmation of health status
- Firearms licensing medical information proforma
- Holiday / travel cancellation claim forms
- Private care forms (i.e. BUPA / Vitality forms)
- Private medical certificate
- TWIMC (short letters with statements of fact relating to general health)
Examples of non-NHS services for which GPs can charge other institutions are:
- Adoption / fostering / special guardianship medical reports
- DVLA medical reports
- Medical reports for an insurance company
- Requests from solicitors for medical reports
- Some reports for the DSS/benefits agency
How long does it take for a GP to complete private work?
The turnaround time for specific requests is listed in our services tab on the page.
Our GP’s are busy providing medical services to patients under the NHS contract. Private work is undertaken outside of or in addition to NHS time, which may be scarce for personal or professional reasons. We will try our hardest to turn around private work as efficiently as possible, but we cannot guarantee the work will always be done as rapidly as a patient hopes.
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, 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.
Private Fees
The table below lists the charges that this practice applies from 05/02/2025. In order to be fair to all patients, there are no exceptions to the charges.
| Service | Fee payable |
| Accident / sickness claim forms Turnaround time after date of payment: Up to 28 days | £55.00 |
| Adoption / fostering / special guardianship medical reports (examination required) Turnaround time after date of payment: Up to 28 days after agreed upon examination date | £200.00 |
| Adoption / fostering / special guardianship medical reports (no examination required) Turnaround time after date of payment: Up to 28 days | £115.00 |
| Confirmation of health status Turnaround time after date of payment: Up to 28 days | £55.00 |
| Firearms licensing medical information proforma Turnaround time after date of payment: Up to 28 days | £65.00 |
| GP signature only Turnaround time after date of payment: Up to 28 days | £20.00 |
| Holiday / travel cancellation claim forms Turnaround time after date of payment: Up to 28 days | £55.00 |
| Private care forms (i.e. BUPA / Vitality forms) Turnaround time after date of payment: Up to 28 days | £55.00 |
| TWIMC (short letters with statements of fact relating to general health) Turnaround time after date of payment: Up to 28 days | £30.00 |
Other important information:
Please note we do not provide letters for the following:
- benefits agencies*
- blue badges*
- court letters (unless requested via court order or solicitor)
- employers (occupational e.g. uniform adjustment or workplace adjustments)
- fit to drive or fly
- fitness to undertake cosmetic procedures or treatment
- housing agencies*
- mental capacity confirmation
- school letters (e.g. absence from school, toilet passes)
*We are able to provide a patient summary and any supporting evidence that may be found in your medical records. This can take up to 28 days to provide.
We do not offer appointments to test for patient’s blood groups. If you need this information, you can either a) donate blood, b) arrange a private blood test, c) if you have previously had a major operation/been pregnant, please contact the respective hospital.
If you are seeking a Hepatitis B vaccination for work purposes, please obtain this vaccination through your employer via an Occupational Health service. This is not a service that we are able to provide to our patients.
Our GPs do not provide a driving medical service, passport signing service or verification of identity.
What if I cannot afford to pay a fee? What can the practice do to help?
The practice recognises that many of our patients may have significant financial difficulties and would not wish to increase their financial stress. For this reason the practice offers two levels of support:
- Provide the patient with a summary of their medical record including active key diagnosis and current medications as previously recorded and read coded in their medical record. There is no charge for this level of support.
- Provide a specific letter or report to patients for a fee.
Whilst we understand the financial pressures patients may be experiencing, we receive a high volume of these requests and set all of our fees based on the time the GP takes to complete the work, so that we are equitable to all patients and our doctors. We are not able to negotiate our rates or offer reduced prices.