The Park End Surgery

3 Park End, London, NW3 2SE, Tel: 020 7435 7282, Fax: 020 7794 2455, [email protected]

Private (Non NHS) Work – Fees

Why are fees charged?
The government’s contract with GPs covers medical services to NHS patients. However, in recent years more and more organisations have been involving doctors in a wide range of non NHS work. This work is not funded by the government, so GPs have to charge a fee to cover their time and other expenses.

Surely the doctor is being paid anyway?

It is important to understand that many GPs are not employed by the NHS. They are self-employed and they have to cover the costs of everything from the limited NHS funds provided – staff wages, buildings, heating, lighting, etc – in the same way as any small business. The NHS covers costs for NHS work, but not for non-NHS work, the fees charged by GPs contribute towards keeping the surgery running.

Do GPs have to do non-NHS work for their patients?

With certain limited exceptions, GPs do not have to carry our non-NHS work. Many GPs however will always attempt to assist their patients and carry out this work.

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

Time spent completing forms & preparing reports takes the GP away from the medical care of patients which will always have top priority. GPs have an ever increasing workload of forms which must be prioritised against offering appointments and other urgent administration. We aim to complete non-NHS work within two weeks of receipt.

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. In order to complete even the simplest of forms, the doctor may have to check a patient’s entire medical record.


Description of non-NHS request/work Fee Payable
Private Prescription 15.00
Private Consultation 60.00
Access to notes (Reports Act 1990) Access Fee – computer only (minimum)



Access to notes (Reports Act 1990) Access Fee – paper records (maximum)



Adoption – parents medical report – same as letters/reports misc level 3 (if not set by company)



Court of protection order assessment 87.00
Driving – elderly driver medical 108.00
Driving – LGV/PSV/HGV medical (50% discount if unemployed) 108.00/54.00
Driving licence – form and photo (at GP’s discretion) 27.00
DVLA Report 41.00
DWP DLA factual report 35.00
Firearms Licence (fee to be paid by patient) 36.00
Fitness to travel certificate/letter 27.00

Forms – medium

(housing report/claims forms/holiday cancellations/ofsted/university etc)



Fostering medical 76.00
Hep B (course of 3) for travel, patient is charged – no blood test 140.00
HIV test private 45.00
Holiday cancellation certificate (report) 43.00
Insurance forms (medium) patients request (claim forms/holiday cancellation)



Insurance forms (medium) company request/level 3 letters BMA agreed fee
Subsequent forms 27.00

Letters miscellaneous – level 1

Eg simple statements of fact EG (TWIMC/OFSTEAD/UNIVERSITY



Letters miscellaneous – level 2

Eg professional opinion required inc housing, holiday cancellation



Letters/reports miscellaneous – level 3

Eg more complicated/lengthy letters/reports (army adoption, sports medicals etc)



Letters/reports miscellaneous – level 4

Eg more complicated lengthy letters/reports for insurance companies and solicitors – £20 per 5 minutes with a minimum fee of £100

Passport and photo (at GPs discretion) 27.00
Sick note – private/certificate of attendance/school sickness certificate 27.00
Sickness/accident report/certificate – without exam 70.00
Sickness/accident report/certificate – with exam 173.00
Solicitors reports – £20 per 5 minutes with a minimum fee of £100
Sports medical 70.00
Taxi medical 108.00
Vaccination certificate 27.00
Power of Attorney and witness for both finance/wellbeing 75.00
Power of attorney for finance 40.00
Power of attorney for wellbeing 40.00