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
  • Passport signing
  • Prescriptions for taking medication abroad
  • Private sick notes
  • Vaccination certificates

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

Please note that routine examinations for insurance purposes usually require longer appointments. Please inform our reception staff so that we can reserve the necessary length of time.

Please bring a urine sample when attending for any routine health check or medical examination.

List Of Fees



  • TWIMC Letter £42.00 + £8.40 VAT (£50.40)
  • Short letter concession (GP discretion) (eg carers, financial hardship) £12.50 + £2.50 VAT (£15.00)
  • Medicals HGV, LGV, PSV, ambulance, racing car & glider (Examination Required) £125.00 + £25.00 VAT (£150.00)
  • Seatbelt exemption £90.00 (no VAT)
  • Bus pass concession £25.00 + £5.00 VAT (£30.00)
  • Driving Licence; Application (Examination may be required) £65.00 + £13.00 VAT (£78.00)
  • Short Certificate (Miscellaneous, inc Lighter Life, Cambridge Diet) £20.00 (No VAT)
  • Taxi Medical (Examination Required) £105.00 + £21.00 VAT (£126.00) 

Travel & Sport

  • Holiday cancellation/fitness to travel £42.00 (no VAT)
  • High risk sports (Sky Diving, Parachute) £42.00 + £8.40 VAT (£50.40) 
  • Private prescription for travel £25.00 + £5.00 VAT (£30.00) 
  • Shotgun licence report only £80.00 + £16.00 VAT (£96.00) 

Medical Reports eg insurance (non Public Sector)

  • Insurance claim (bupa, sickness, accident) £42.00 (no VAT)
  • Life Insurance medical report (GPR) £115.00 (no VAT)
  • Targeted life Insurance medical report (iGPR) £115.00 (no VAT)
  • Additional Information (supplementary report) £32.00 (no VAT)
  • Medical Report (employment, solicitors, police etc) no examination £145.00 (no VAT)
  • Medical Report (employment, solicitors, police etc) with exam £280.00 (no VAT)
  • Pre-employment (health screening letter and report) no examination £145.00 + £29.00 VAT (£174.00) 
  • Pre-employment medical (health screening letter and report) with exam £280.00 + £56.00 VAT (£336.00) 
  • Army Medical Declaration (no examination) £65.00 + £13.00 VAT (£78.00) 
  • Army Medical Declaration (with examination) £86.00 + £17.20 VAT (£103.20) 

Local Authority/public sector

  • Adoption & Fostering (Form AH) (examination required) £89.38 + £17.88 VAT (£107.26) 
  • Adoption & Fostering (Form AH2) £29.49 + £5.90 VAT (£35.39) 
  • Case Conference Report £52.00 (No VAT)
  • DWP DLA for carer (terminally ill patient) DS1500 £17.00 + £3.40 VAT (£20.40) 
  • Police questionnaire/report £35.00 (No VAT)
  • DWP Personal Independence/DLA DLA370 £33.50 + £6.70 VAT (£40.20) 
  • Ofsted (childminder health form) paid by applicant £100.00 + £20.00 VAT (£120.00) 
  • CICA (Criminal Injuries Compensation Authority) £39.00 + £7.80 VAT (£46.80) 


  • HGV Medical (our patient) (examination required) £125.00 + £25.00 VAT (£150.00) 
  • Report for DVLA (fixed cost) £40.00 + £8.00 VAT (£48.00) 
  • Report for DVLA (fixed cost) (examination required) £85.00 + £17.00 VAT (£102.00) 

Subject Access Requests

  • Electronic Copy Records £15.00 (no VAT)
  • Copy Records per sheet (max £50) £0.45 (no VAT)
  • Full notes (printed and paper) £60.00 (no VAT)

Mental Capacity Act

  • Power of Attorney Certificate (Visit or Appt required)/Witnessing (examination required) £70.00 + £14.00 VAT (£84.00) 
  • Power of Attorney Certificate (No appointment required) £90.00 + £18.00 VAT (£108.00) 
  • Mental Capacity Act Assessment (COP3) £60.00 + £12.00 VAT (£72.00) 
  • Mental Capacity Act Assessment (COP3) (examination required) £105.00 + £21.00 VAT (£126.00) 

Cremation and Coroner

  • Cremation fees (part 4&5) £82.00 (no VAT)
  • Coroner's report (for Court) £67.50 (no VAT)

Private services

  • Private consultation (10 min) (examination required) £65.00 + £13.00 VAT (£78.00) 
  • Private Telephone consultation £40.00 + £8.00 VAT (£48.00) 
  • Private prescription £20.00 + £4.00 VAT (£24.00) 
  • Private sick note £22.00 + £4.40 VAT (£26.40) 
  • Private home visit (examination required) £90.00 + £18.00 VAT (£108.00) 
  • Private ECG recording (examination required) £75.00 + £15.00 VAT (£90.00) 
  • Private Microbiology Services (+ patient invoiced lab fees for each test) (examination required) £22.00 + £4.40 VAT (£26.40) 
  • Private Blood Pressure (examination required) £17.00 + £3.40 VAT (£20.40) 

Private Vaccination Fees

  • Cholera (No Certificate) FREE
  • Cholera (With Certificate) £15.00 (no VAT)
  • Hepatitis A (PPA claim IOS 5or booster) FREE
  • Hepatitis B for Travel course of 3 (£52.00 each) £150.00 (no VAT)
  • Hepatitis B (If for bite or injury) FREE
  • Organisation requesting: £90.00 (no VAT)
  • Police/Nursing Home/NHS/Occ Health £90.00 (no VAT)
  • Japanese Encephalitis (Single dose) £100.00 (no VAT)
  • Japanese Encephalitis (2 doses) £195.00 (no VAT)
  • Meningitis (Single Dose and letter) £70.00 (no VAT)
  • Private Prescriptions £20.00 + £4.00 VAT (£20.00)
  • Rabies (3 doses) £210.00 (no VAT)
  • Rabies (Single dose) £75.00 (no VAT)
  • Tick-Borne Encephalitis (3 doses) £195.00 (no VAT)
  • Typhoid (IOS plus PPA) FREE
  • Vaccination Travel certificate (yellow book) £15.00 + £3.00 VAT (£18.00)
  • Yellow Fever (Stamaril live) £83.00 (no VAT)

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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