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 and driving requirements (HGV, PSV etc.)
  • Insurance claim forms
  • Prescriptions for taking medication abroad
  • 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.

List Of Fees

 

All Fees Must Be Paid In Advance apart from DVLA and DWP

General

  Examination Required Fee VAT Total
TWIMC Letter No £42.00 £8.40 £50.40
Short letter concession (GP discretion) (eg carers, financial hardship) No £12.50 £2.50 £15.00
Bus pass concession No £25.00 £5.00 £30.00
Driving Licence; Application No / Yes £65.00 £13.00 £78.00
Short Certificate (Miscellaneous, inc Lighter Life, Cambridge Diet)  No £20.00 n/a £20.00
Taxi Medical Yes £105.00 £21.00 £126.00

Travel & Sport

  Examination Required Fee VAT Total
Holiday cancellation/fitness to travel No £42.00 exempt £42.00
Shotgun licence report only No £80.00 £16.00 £96.00

Medical Reports e.g. Insurance (non Public Sector)

  Examination Required Fee VAT Total
Insurance claim (bupa, sickness, accident) No £42.00 exempt £42.00
Life Insurance medical report (GPR) No £115.00 exempt £115.00
Targeted life Insurance medical report (iGPR) No £115.00 exempt £115.00
Additional Information (supplementary report) No  £32.00 n/a £32.00
Medical Report (employment, solicitors, police etc) no examination No £145.00 exempt £145.00
Medical Report (employment, solicitors, police etc) with exam  Yes £280.00 exempt £280.00
Army Medical Declaration (no examination) No £65.00 £13.00 £78.00
Army Medical Declaration (with examination) Yes £86.00 £17.20 £103.20

Local Authority/public sector

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

DVLA

  Examination Required Fee VAT Total
HGV Medical (our patient) Yes £125.00 £25.00 £150.00
Report for DVLA (fixed cost) No £40.00 £8.00 £48.00
Report for DVLA (fixed cost) Yes £85.00 £17.00 £102.00

Subject Access Requests

  Examination Required Fee VAT Total
Electronic Copy Records No £15.00 n/a £15.00
Copy Records per sheet (max £50) No £0.45 n/a £0.45
Full notes (printed and paper) No £60.00 n/a £60.00

Cremation and Coroner

  Examination Required Fee VAT Total
Cremation fees (part 4&5) No £82.00 exempt £82.00
Coroner's report (for Court) No £67.50 exempt £67.50

Private Vaccination Fees

  Examination Required Fee VAT Total
Cholera (No Certificate) No     Free
Cholera (With Certificate) No £15.00 exempt £15.00
Hepatitis A (PPA claim IOS 5or booster) No     Free
Hepatitis B for Travel course of 3 (£52.00 for a booster) No  £150.00 (course) exempt £150.00
Hepatitis B (If for bite or injury) No     Free
Organisation requesting No £90.00 n/a £90.00
Police/Nursing Home/NHS/Occ Health No £90.00 n/a £90.00
Japanese Encephalitis (Single dose) No £100.00 n/a £100.00
Japanese Encephalitis (2 doses) No £195.00 n/a £195.00
Meningitis (Single Dose and letter) No £70.00 n/a £70.00
Private Prescriptions No £20.00 £4.00 £24.00
Rabies (3 doses) No £210.00 n/a £210.00
Rabies (Single dose) No £75.00 n/a £75.00
Tick-Borne Encephalitis (3 doses) No £195.00 n/a £195.00
Typhoid (IOS plus PPA) No     Free
Vaccination Travel certificate (yellow book) No £15.00 £3.00 £18.00

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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