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 out any non-NHS work. Many GPs however will always attempt to assist their patients and carry out this work where possible and time allows.

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 but on occasion this can take longer.

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.

Fees for Non NHS services from November 2019

Please note all private work must be paid in full in advance of any work being carried out


Private prescription


GP Letter- this will be a statement of fact, not opinion


PIP support letter (This is not required see information leaflet on website, PIP will write to us if required).

If letter is completed - charge applicable to patient


Sickness/accident benefit claim form


Fitness to travel


Passport application **Please see gov.uk for guidance this does not need to be GP                                                                 


Driving license


Holiday cancellation form


Insurance claim form


Insurance proposal forms –no exam                                                                


Employment report


Ofsted Health Report


Firearms letter/report


Medicals excluding ENG1


ENG1 Medical


 *While the above is a guide pricing if the time taken exceeds that predicted for the service there may be an increase in charge this will be communicated before work carried out. 


Fee for medical consultation (private patient per hour)                                                                         


Detailed written report **with exam (30 minutes)         


Comprehensive exam and report (45 minutes)




 The cost of other requests not listed will be based on time:

One hour                                                                                                                                                                                       


30 minutes


15 minutes




Patient access to their medical records:

Copy of full records**

Computer printout only**                                                

**A data subject access request form will need to be completed, signed & ID seen before we are able to complete these requests                           


Medical records copies for Solicitors**

**Charges will apply if repeat requests are made



Lasting Power Of Attorney – This is not something GP’s are happy to complete, but on occasions can be done with prior agreement of £125.00

Hep B for Occupational Health Purposes – £120 for the initial course of 3 vaccines and then £40 for the booster