Non NHS Private Fees


Learn more about private services fees

Private Fees

All reports are carried out at the GP’s discretion and as a practice we do not undertake: 

  • Power of Attorney
  • Identity Confirmations (e.g.:  passport/driving licence confirmation)
  • Confirmation of living at an address
  • Confirmation patient is alive
  • Certificate to complete extreme activities (e.g.:  sky diving, expeditions, marathons)
  • Court Exemption Report / Letter
  • Vision Assessment as part of a private medical 
  • Firearms certificates 


  • Forms/letters To whom it may concern/Drs letter to third party £60.00 (No VAT)
  • Fitness to travel/ PIP form/letter £30.00 (No VAT)
  • Insurance Claim form £100.00 (No VAT)
  • General Form (Max 2 pages) £60.00 (No VAT)
  • Bus Pass £20.00 (No VAT)
  • Targeted report no examination £104.00 (No VAT)
  • Duplicate Sick Note £10.00 (No VAT)


  • Immunisations Hep B (travel only – course of 3) £120.00 (No VAT)
  • Rabies (course of 3) £185.00 (No VAT)
  • Japanese Tick born Encephalitis (course of 3) £280.00 (No VAT)
  • European Tick born Encephalitis (course of 3) £195.00 (No VAT)
  • ACWY meningitis vaccination (injection, non-clinical team administration & script fee) £50.00 (No VAT)


  • Medicals HGV/Taxi/Insurance/Sports medical £100.00 (+£20.00 VAT) Total: £120.00
  • Full examination and report £200.00 (No VAT)
  • Employment / Pension medical £80.00 (+£20.00 VAT) Total: £100.00
  • Fostering Medical £100.00 (No VAT)
  • Fostering Medical Renewal (no examination) £50.00 (No VAT)
  • Full Medical Report £100.00 (No VAT)


  • Certificates Private Prescription £18.50 (+£3.70 VAT) Total: £22.20
  • Freedom from infection certificate £24.00 (+£6.00 VAT) Total: £30.00
  • Vaccination certificate/immunity certificate £24.00 (+£6.00 VAT) Total: £30.00

Why do GPs sometimes charge fees?

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

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