Non-NHS Services

The NHS provides most healthcare to most people free of charge, but there are exceptions i.e. prescription charges, 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 e.g. dental fees; in other cases it is because it is not covered by the NHS, for example: medical reports for insurance companies.

Private medical services are not covered by the NHS and there is a fee charged to cover the costs of the extra work.


What is covered by the NHS and what is not?

NHS England'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.

The most common services for which fees are charged include:

Type of Service Payable By
Certificate of existence Patient
Sick note (private) Patient
Freedom from infection certificate Patient
Fitness to travel certificate Patient
Fitness for sport certificate Patient
BUPA etc insurance claims Patient
Holiday cancellation claim form Patient
Report to DVLA DVLA
Medical Attendant's report for insurance Insurance Company/Patient
Reports to employers Employer/Patient
Fitness to undertake exercise regime Patient
Childminder health form Patient/Employer
Medical examinations for insurance or employment Patient/Insurance Company/Employer
Lasting Power of Attorney examination Patient
Completion of D4 (HGV etc) Patient/Employer
Medical examinations for sport or fitness to travel Patient
Some travel vaccinations and medication Patient


Details of the charges may be obtained from Reception. There is also a list of fees in the waiting room on the notice board.  Please note that VAT is payable on some items.


I only need the doctor's signature - what is the problem?

In order to complete even the simplest of forms 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 can I do to help?

Not all documents need signing by a doctor, for example passport applications.  You can ask another person in a position of trust to sign such documents free of charge.

Do not expect your GP to process forms overnight; urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.

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