Non-NHS Private Fees


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.
    • Please note we cannot provide Hepatitis B immunisations for occupation purposes.
    • Please speak with your employer directly (who have a duty of care to provide a safe working environment) who can make arrangements for another health provider to assess the requirement for you to have such vaccines.

The fees charged are based on the British Medical Association (BMA) suggested scales and our Non-NHS secretary will be happy to advise you about them along with appointment availability.


Passport countersignature

According to the government website GPs are not permitted to countersign passports and the HM Passport Office no longer accepts GPs counter signatories either.

More information is available here about countersignature for passports: 

Private Fees


All fees are in line with the BMA guidelines.

Make a private service request 

Medical Examinations

  • Taxi / Lorry / Bus – Medical Examination & Report (without eye test) In Surgery - £150
    • (BMA recommends a fee of £85 for examination only & £100-£125 to complete the report)
  • DVLA - Blood test - £39
  • Firearms Licensing (i.e. Shotgun) - £60
  • Other Medical Examination & Report in Surgery - £130
  • Fostering / Adoption - £100
  • Childminder Health Forms (OFSTED) - £100

Forms, Letters and Reports

  • Blue Badge / Disability Form - £50
  • To Whom It May Concern Short Letter - £40
    • Max 1 page (i.e. Registration, Fit to fly in pregnancy, etc.)
  • To whom it may concern detailed letter - £75
    • More than 1 page
  • Student Unfit to Take Exam-short letter / form - £40
  • Report For Insurance Applicants / Private Insurance - £50 to £104
    • (i.e. Bupa, Vitality, Axa health, etc.)
    • Supplementary reports - £30
  • Amendments To Letters - Free for the first amendment, then a £5 to £10 fee applicable to each change thereafter.

Certificates and Prescriptions

  • Private Medical Certificate only - £30
  • Private Medical Certificate & Examination - £65
  • Private Prescription - £25
  • Private Medical insurance form - £50
  • Council tax exemption for - Free

Medical Records

  • Brief Summary (printout for patient) - Free
  • Immunisation Records - Free
  • Medical Records - Free
    • (i.e. medical report / record that already exists) 
    • Subject Access Request (SAR) - Free
  • Supplementary Reports - £30
    • (i.e. requests for copies of the same information within a short period of time)
  • Extract from record - £100
    • (i.e. for employer, solicitor, insurance co. if a medical report is to be created or interpretation of existing information within medical record) 
    • Access to Medical Report Act (AMRA)

Why do GPs sometimes charge fees? and FAQ's

How long does it take to process requests?

Your requests will not be processed as urgent.

Please allow 4 weeks for these requests to be completed and medical records are sent off after 30 working days.

Your requests will only be processed upon receipt of full payment. Any delay will be a result of non-payment from the requesting party i.e. insurance company, solicitor or Job centre.

What is the process of putting in a request?

Please complete the attached form fully. Failure to do so it will result in your request being cancelled and then you will have to complete another request form.

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.

More About Our Services