Non-NHS work

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
  • Insurance claim forms
  • Prescriptions for taking medication abroad
  • Private sick notes
  • Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and by using our online contact the practice form, our reception staff will be happy to advise you about them along with appointment availability.

Poplars Surgery fees for non-NHS work

General reports / lettersFeeUsually paid by
To whom it may concern letter – simple
Typically 10 minutes requirement
£30.00Patient
To whom it may concern letter – detailed
Typically 30 minutes requirement
£65.00Patient
Private sick note (incapacity certificate) required by patient for presentation to an employer – applies to first 7 days of sickness£50.00Patient
Housing and Benefits letterNot provided
Please forward letter via AccurRx ‘Housing and Benefits’
Freedom from infection certificate e.g. for school, travel or employment£50.00Patient
Fitness letter without examination e.g. exercise/ gym/ school/ travel£65.00Patient
Cancellation form/ certificate e.g. for gym, travel£65.00Patient
Validation of private medical insurance (PMI) claim form to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form£65.00Insurance/ Patient
Report on a pro-form, no examination
Typically 30 minutes requirement
£95.00Patient
Written report without examination, providing a detailed opinion and statement on the condition of the patient required detailed review of patients notes
Typically 30 minutes requirement
£125.00Patient
Written report with examination, providing a detailed opinion and statement on the condition of the patient required detailed review of patients notes
Typically 45 minutes appointment
£180.00Patient
Passport countersignatureAt GPs discretionPatient
Firearms letterAt GPs discretionPatient
DrivingFeeUsually paid by
DVLA VOC GP certificate£15.00Patient
DVLA GP series 2£48.00Patient
DVLA GP examination£102.00DVLA
HGV, PSV, elderly, taxi driver medical
40 minute examination and paperwork
£140.00Patient
Fostering / Adoption / ChildminderFeeUsually paid by
Fostering/ adoption (full medical exam and paperwork)£165.00Normally paid by patient
Fostering/ adoption (update report)£45.00Normally paid by patient
Completion of childminder health form£90.00Patient
Mental capacityFeeUsually paid ny
Mental capacity report (full medical exam and paperwork – surgery appointment)£160.00Patient/ family/ solicitor
Mental capacity report (full medical exam and paperwork – home visit)£200.00Patient/ family/ solicitor
Power of attorney (full medical exam and paperwork – surgery appointment)£160.00Patient/ family/ solicitor
Power of attorney (full medical exam and paperwork – home visit)£260.00Patient/ family/ solicitor
Court of protection (full medical exam and paperwork – surgery appointment)£160.00Patient/ family/ solicitor
Court of protection (full medical exam and paperwork requiring home visit)£260.00Patient/ family/ solicitor
InsuranceFeeUsually paid by
GP report for insurance applicants£125.00Insurance
GP supplementary reports£60.00Insurance
Targeted report – per condition£125.00Insurance

Frequently asked questions

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: prescription charges have existed since 1951, and there are a number of other services for which fees are charged. Sometimes the charge is made to cover some of the cost of treatment, for example, dental fees; in other cases, it is because the service is not covered by the NHS, 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.

What is covered by the NHS and what is not?

The Government’s contract with GPs covers medical services to NHS patients. 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.

Can you give examples of non-NHS services for which GPs can charge their NHS patients:
  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports
Can you give examples of non-NHS services for which GPs can charge other institutions:
  • medical reports for an insurance company
  • some reports for the DSS/Benefits Agency
  • examinations of local authority employees
  • DS 1500 Form (disability living/attendance allowance)
Is it true that the BMA sets fees for non-NHS work?

The BMA suggests fees for non-NHS work which is not covered under a GP’s NHS contract, to help GPs set their own professional fees. However, these fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested.

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 will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual doctor to decide how much to charge, but the BMA produces lists of suggested fees which many doctors use. Surgeries often have lists of fees on the waiting room wall based on these suggested fees.

What can I do to help?

Not all documents need signature by a doctor, for example passport applications. You can ask another person in a position of trust to sign such documents free of charge.

If you have several forms requiring completion, present them all at once and ask your GP if he or she is prepared to complete them all at once as a (job lot) at a reduced price.

Do not expect your GP to process forms overnight. You should expect the form(s) to take up to 4 weeks for the GP to complete and return.

Method of payment

We accept cash and cheques only. Cheques should be made payable to ‘Poplars Surgery’ unless advised otherwise by the receptionist or doctor.

Payment must be made upon making the request.

Non-NHS work is charged in line with British Medical Association Guidelines.

If you require further information specifically relating to fees charged for Non NHS services, please ask at reception in the first instance.

All above services are purely at the individual GPs discretion.

Time requirement

We require 4 week’s notice although we do try and complete such requests sooner.

Where a patient has an urgent request, this should always be explained to the receptionist who will note the request, however it is not always possible to process these faster since more clinically urgent NHS work will always take precedent.