Fees and Charges

Non NHS Fees and Charges

Why Fees are 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-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, employer or public body wants to ensure that the information provided to them is true and accurate.

The following Questions and Answers are taken from advice by the British Medical Association (BMA) to help patients understand the fees charged by GP’s.

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

With certain limited exceptions such as a GP confirming that a patient is not fit for jury service GP’s DO NOT have to carry out non-NHS work. Many GP’s however will always attempt to assist their patients and carry out this work.

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

Time spent completing forms and preparing reports takes the GP away from the medical care of patients. GP’s have an ever increasing workload of forms which must be prioritised against offering appointments.

3. 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.

Carelessness or inaccuracy can have serious consequences for the doctor with the General Medical Council (the doctors regulatory body) or even the Police.

4. Who sets the fees and why do different doctors charge different fees?

The BMA suggest fees that may be charged in certain circumstances
however these are intended for guidance only. Doctors are not obliged to charge the rates suggested by the BMA and the fee levels will generally reflect the amount of work and time involved.

5. Why do GPs charge for the completion of cremation forms?

A deceased person cannot be cremated until the cause of death is definitely known and properly recorded. Before cremation takes place two certificates must be signed, one by the GP and one by another doctor. The completion of these forms is not part of a doctor’s NHS duties and the fees are usually charged to the funeral director who generally passes on the cost to the family.

These fees are agreed with the National Association of Funeral Directors, the National Society of Allied and Independent Funeral Directors and Co-operative Funeral Care.

Death Certificates are a separate form and are completed free of charge

6. What notice is needed for completion of reports and letters?

To allow the practice to plan the GP’s time 4 weeks notice is required although many are completed within this time. Where a patient has an urgent request this should be explained to the receptionist who will note the request and there may be an additional charge.

Warden Lodge Medical Practice Non NHS Fees

Updated August 2018

Private Charges

Not all services at the Practice are available under the NHS.

Where patients request NON-NHS items or services, a Private Fee may be payable.

Please see the fees below, which are payable in advance.

Medical Examination Approx Fee
Fee for home visit (private patient) £110
Private prescription £15
Pre-employment medical £164
Medicals for 3rd parties (may be VAT exempt – depends on purpose) £130
HGV, PSV, taxi driver examination (optician fee not included if test recommended by GP) £110
Elderly driver fitness medical examination £100
Racing driver fitness certificate £110
Fitness to attend school certificate (report only) £20
BUPA/PPP etc £50
Sickness/Accident Insurance Benefit Claim Form £50
Fostering/Adoption report £100
Full examination and report £120
Employer report/opinion without examination £80
GP report for insurance applicants £104
GP supplementary reports £27
Diabetic driver’s insurance form £35
Access to records under DPA No fee unless notified by practice
Health club/weight management form £50
Diving medical examination excluding X-rays £110
Diving medical examination excluding X-rays with report £110
Fitness to attend – for schools/sports/uni (exam and report) £40
Fitness to attend – for schools/sports/uni (report and opinion) £50
To whom it may concern letters (minors £10) £30
Power of attorney form and consultation in surgery £160
Power of attorney form and home visit consulation £190
Overseas pension form £30
Ofsted report £70


Certificate Approx Fee
Private Fitness for Work Note (VAT exempt) £25
Holiday cancellation insurance certificate £30
Fitness to travel certificate £30
Vaccination certificate £15
Private Prescription for drugs required solely for purpose of travel abroad £15
Driving Licence Photograph £25
Freedom from Infection £25
Firearms Licence (no longer available) N/A
Fitness to attend school certificate (examination and report) £130
Power of attorney £50