Private Fees

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Why GPs Charge for Non-NHS Work

GP services provided under the NHS are free at the point of care. However, non-NHS work is not funded by the NHS and therefore incurs charges. This includes work done for:

• Insurance, legal, or occupational health purposes
  • Travel, school, or university requirements
• Private medical reports, certificates, or forms

Reasons for charging

• Time and administrative burden: Non-NHS work often requires completing forms, reports, letters, or consultations outside routine NHS care.
• Professional responsibility: GPs take legal and clinical responsibility for the accuracy of assessments and reports.
• Practice sustainability: Non-NHS work helps maintain practice resources and staff.

Important Information for patients

• Charges are separate from NHS care and must be agreed in advance.
• Payment is usually required before completion.
• The GP has discretion to refuse non-NHS work if unable to provide it safely or within a reasonable timeframe.
• We aim to complete non-NHS work within 28 days. However, this may vary depending on GP availability, workload, and the complexity of the request.

Important Practice Policy

• Only GP Partners may provide chargeable non-NHS services. This is because the Practice holds appropriate medical indemnity coverage for Partners, ensuring legal and professional protection.
• Patients must have been known to the GP for at least 2 years for certain documents (e.g., verification of identity), not just registered at the Practice.

Common Non-NHS Items and Fees

Note: Fees are indicative and may vary depending on the complexity of the request, urgency, and Practice policy.

• Private Medical Certificate - Confirmation of fitness for work, insurance, travel: £20 - £30
  • Price depends on complexity and time
• Sick Note / Fit Note (Private) - Letter for employer or insurance outside NHS coverage: £20 - £40
  • Standard NHS sick notes are free
• Insurance Report / Form - Completed forms for life, health, or travel insurance: £50 - £150
  • Fees depend on length/complexity
• Letter to Employer / Solicitor - Accident reports, litigation letters: £50 - £100+
  • Higher if detailed clinical review is required
• Medical Examinations - For insurance, pre-employment, fitness: £75 - £200
  • Includes history, examination, and report
• Travel Vaccination / Health Certificate - Certificate for travel insurance or work abroad: £20 - £50
  • Vaccines themselves may be charged separately
• HGV / Taxi Medicals - Occupational medical certification: £100
  • Includes form completion and examination
• Further Information request from DVLA/TFL/ Insurance Company - Additional information request: £20 - £40 
  • Depending on complexity
• School / University Forms - Medical evidence for absences or fitness or Occupational Health Forms: £20 - £40
  • Urgent requests may be higher
• Lasting Power of Attorney Forms - Completion/verification of medical information: £75 - £150
  • £75 per form
    • health and welfare
    • property and financial affairs
• Proof of Life Certificate - Confirming patient is alive for legal/financial purposes: £25
• Verification of Identity - For passports, immigration, legal purposes: £25
  • Patient must be known to GP ≥2 years
• Proof of Registration - Evidence of being registered at the Practice: £20 - £40
  • For insurance, legal, or administrative use
• Fostering / Adoption Forms - Detailed medical and lifestyle reports: £75 - £200
  • Requires 2-year patient-GP relationship
• Other Letters/Reports - Bespoke requests not listed above: £25 - £100+
  • Fees depend on length, complexity, and time
• Hourly Rate for Additional Work - Complex or extended private work not listed: £100 - £120 per hour
  • Charged pro-rata, may include review of notes, correspondence, or meetings