Private Fees

It is unfortunate that not all of our services are covered by the NHS and therefore require us to charge a private fee.

Increasingly we are asked to provide letters, reports or certificates on behalf of patients to third parties such as insurance companies or employers, to ‘confirm’ that a patient has had a medical intervention (This is only ever provided with the appropriate consent from the patient).

In order to cover the cost of administering this request (secretarial time to type the report/certificate/letter), checking the appropriateness of the request and the doctors time to compose the letter etc. we do need to charge a fee. We aim to keep our charges reasonable, whilst endeavouring to deal with your requests in a timely manner.

Please bear in mind that these are services over and above the day to day priority of providing NHS care.

private fees


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 non-NHS work. Many GPs however will always attempt to assist their patients and carry out this work.


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.


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.

Description of Non-NHS Request / Work:

Fee Payable:

(From 1/1/2019)

Access to notes (GDPR) Access Fee – computer only (minimum)                          First request

Duplicate request (same data)


£10 plus 38p a side

Adoption – Parents medical report - same as letters / reports misc level 3 (if not set by company)


Army Medical Report - same as letters / reports misc level 3


Court of Protection Order Assessment


Certificate – see Letters (simple)


Driving - Elderly Drivers Medical


Driving - LGV/PSV/HGV Medical


Driving Licence - form and photo (at GP's discretion)


DS 1500 Dept. of Work and Pensions


DVLA Report


DWP DLA Factual Report


Extra Information Request (follow up)


Firearms Licence (Fee paid by patient)


Fitness to Travel Certificate / letter                                                                    without exam

With examination                                   



Forms – small

( Bus pass / Travel meds / Council Tax etc)


Forms - medium

(Housing Report / Claim forms / Holiday Cancellation / Ofsted /School fees/ University etc)


Fostering Medical

£77 initial

£32 further info

Freedom from infection certificate (without examination and tests)


HIV test - private


Holiday Cancellation Certificate (report)


Insurance Forms (medium) - PATIENTS request (Claim forms / Holiday canc.)


Insurance Forms (medium) -      COMPANY request /level 3 letters


                                               Subsequent form


Letters miscellaneous - Level 1

eg simple statements of fact EG.(TWIMC / OFSTED / UNIVERSITY)


Letters miscellaneous - Level 2

eg professional opinion required inc housing, Holiday cancellation, school fees


Letters/reports miscellaneous - Level 3

eg more complicated/lengthy letters/reports (Army, adoption, Seafarers, sports medicals, fitness to exercise etc)


Letters/reports miscellaneous - Level 4

eg more complicated/lengthy letters/reports for Insurance Companies and  Solicitors –£20 per 5 minutes with a minimum fee of £100


M.A.R (Medical Attendants Report)


M.A.R (Medical Attendants Report) Extra report


M.A.R (Medical Attendants Report) with Medical Exam


OFSTED Childminding - Check and sign only


Power of Attorney without visit


Power of Attorney needing home visit


Private Prescription, including for malaria medication


Private consultations

With GP- for 10 minutes

With Nurse practitioner

With Practice Nurse





Private tests (for taking sample only - Hospital charge for actual test varies)









Report - sickness/accident report/ certificate - without exam


                                                        - With examination


Sick Note - private/certificate of attendance/school sickness certificate


Solicitors reports – £20 per 5 minutes with a minimum fee of £100


Taxi Medical


Travel documents with medication


Vaccination Certificate



The charges are for guidance only and can increase depend on individual circumstances.  Further information on charges will be provided by the secretary and charges will be collected in advance. Please allow minimum of 2 weeks for forms and letters.

For more information please see our attached patient leaflet below.

Patient Charges