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.
PRIVATE WORK FEES 2018
|Description of non-NHS request/work||Fee Payable|
|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|
|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)
|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|
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|
|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|