ARCHIVE - Private Fees & Charges

Why do GP’s charge fees? 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 prescription charges, and there are a number of other services for which fees are charged. This is because the service is not covered by the NHS, for example medical reports for insurance companies, claim forms for referral to private care and other letters and forms which require the GP to review the patient’s medical record.

Surely the GP is being paid anyway?

GPs are not employed by the NHS. They are self-employed and have to cover their costs – staff, buildings, heating, lighting etc – in the same way as any small business. The NHS pays the doctor for specific NHS work but for non-NHS work the fee has to cover the GP’s costs.

What is covered by the NHS and what is not?

The government’s contract with GP’s covers medical services to NHS patients. In recent years more and more organisations have been involving GPs in a whole range of non-medical work.

Examples of non-NHS services for which GPs can charge their NHS patients are;

  • Certain travel vaccinations

  • Private medical insurance reports

  • Holiday cancellation claim forms

  • Referral for private care forms

  • Letters requested by, or on behalf of, the patient

Examples of non-NHS services for which GPs can charge other institutions are;

  • Medical reports for an insurance company

  • Some reports from DSS/Benefits agency

  • Examinations of local authority employees

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 / her patients. GPs have a very heavy workload and paperwork takes up an increasing amount of their time. GP's chargeable rate is £145 per hour as recommended by the BMA.

I only need a GPs signature – what is the problem?

When a GP 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. Therefore, in order to complete even the most simplest of forms, the GP needs to check the patient’s entire medical record. Carelessness or inaccurate report can have serious consequences for the GP.

Why does the GP not write what I have asked them to?

GP's are under the BMA guidance are tied to strict protocol of integrity and accuracy and upholding professional standards. Therefore they can only write what is factually correct and evidenced by their own medical assessment or from another health professional in writing. Therefore, some patients can be disappointed by what they want in a letter has not been reflected. Putting excessive pressure on the GP on something that is not factual accurate regarded as a breach of Zero Tolerance Policy. (See item 13) 

Why do I need to pay upfront?

In the past we have completed reports and forms before payment has been made, but sadly there has been many occasions when the GP has completed the work but the payment has not been made. Therefore,  the fee must be paid in advance at the time of the request for the letter or form to be completed is made or when the appointment for the medical is booked.

Services which incur a Fee

The Services listed below are what are known as “NON-NHS items" and may incur a private fee payable to the practice. Requests take 21 days to action from when the Private Request is received.

Private Sick Notes                                                    £15.00
Freedom from infection certificate                            £25.00
Health insurance claim forms Eg: BUPA                  £25.00

Medical Reports / Medical Questionnaire                
£25 - £120

Sickness / accident insurance benefit claim forms   £25.00
Private Letters                                                                     £25.00 - £120


Medical Consultation – Private Patient (Per Hour)   £145.00
Pre-employment Medical Examination  :      

DVLA Forms: LGV,PCV,Taxi Driver, Elderly driver : £110.00

Computerised records/manual records or a combination of both - Free

Computer records  - Free*

Vaccination and other Travel Charges

Our practice policy is to issue all patients with a computerised record of your travel vaccination, so that you are clear about the exact vaccination you have been given. This computerised record will cost you £10.00. You will be asked to pay this at reception before your appointment. You will be given a receipt which you will need to show to the Nurse before you receive your injection. However if you are signed up online access to your medical records this will not be charged as you have access to your medical records online.

Malaria Prescription : £10.00 (No extra charge if done with travel vaccinations)

Please note the practice currently has no available (ACWY) due to a national shortage, please contact the practice for updates.
Vaccination (ACWY) vaccination:   Adults & Children :    £45.00  (Free if aged 14 - 25 age group and part of the national immunisation scheme).

Holiday cancellation certificate                                            £25.00
Fitness to travel or carry medication certificate or letter        £25.00
Yellow fever vaccination per person (including children)       £70.00 - We stopped offering this service in June 2019 - please ask a local pharmacist.
Duplicates of yellow fever certificate                                    £20.00

Hep B - the patient is charged                                         £45.00 per injection including the cost of the vaccine.

Most patients will require a course of three injections


Private letters for any reason                       £25.00 (We DO NOT accept requests for housing, Home Office, benefits and appeals. We also DO NOT                                                                                         countersign forms. Please speak to reception for further clarification.)
Photocopies of documents ( per copy )        £0.50
Photocopies of any test results (per copy)    £0.50

Updated 16 March 2017