Private (non-NHS) Services
A range of services are offered which are not covered by the National Health Service. For example, sports medicals, insurance medicals, private sick notes, completion of insurance forms, letters to third parties (i.e., confirming medical conditions for holiday travel), passport form completion etc. Details of fees can be obtained from reception.
|Standard Service / Exam Fitness to travel letter||Standard Fee £35.00|
|Standard Service / Exam Fitness for sporting activity (no examination) short report (Excludes diving)||Standard Fee £20.00|
|Standard Service / Exam GPs Letter (short) (To whom it may concern)||Standard Fee £20.00|
|Standard Service / Exam Holiday cancellation certificate||Standard Fee £30.00|
|Standard Service / Exam Short medical report, no examination||Standard Fee £45.00|
|Standard Service / Exam Adoption / fostering medical||Standard Fee £100.00|
|Standard Service / Exam Army medical form (Cost paid by Army / Capita)||Standard Fee £65.00|
|Standard Service / Exam Assessment of Capacity for Health / Welfare / Power of Attorney / Court of protection with consultation to assess capacity||Standard Fee £140.00|
|Standard Service / Exam Blue Badge Scheme form||Standard Fee £35.00|
|Standard Service / Exam BUPA etc medical insurance claim form||Standard Fee £45.00|
|Standard Service / Exam Community Service certificate for offenders who fail to attend||Standard Fee £18.00|
|Standard Service / Exam Disability Living Allowance report / Attendance Allowance (DWP pay)||Standard Fee £40.20|
|Standard Service / Exam DVLA report, no examination (DVLA usually meet these costs)||Standard Fee £40.00|
|Standard Service / Exam Fitness for sporting activity (no examination) long (Excludes diving)||Standard Fee £35.00|
|Standard Service / Exam General Practitioners Report (PMA)||Standard Fee £104.00|
|Standard Service / Exam GP's report (longer - fee set in advance by GP range- £45 - £130)||Standard Fee £130.00|
|Standard Service / Exam HGV / PSV licence medical / Taxi licence medical / Older person driving||Standard Fee £110.00|
|Standard Service / Exam HGV / PSV licence medical / Taxi licence medical/Older person driving||Standard Fee £110.00|
|Standard Service / Exam International certificate of vaccination||Standard Fee £25.00|
|Standard Service / Exam Local Authority (paid by the Council)||Standard Fee £64.62|
|Standard Service / Exam Medical report re accident / sickness - no examination (£45-£110)||Standard Fee £110.00|
|Standard Service / Exam Medical report re accident / sickness - with examination||Standard Fee £175.00|
|Standard Service / Exam Nursing/residential home application form||Standard Fee £35.00|
|Standard Service / Exam Ofsted Childminder Health Form||Standard Fee £65.00|
|Standard Service / Exam General medical examination / report (brief report) (£54-95)||Standard Fee £95.00|
|Standard Service / Exam Pre-university / school medical||Standard Fee £45.00|
|Standard Service / Exam Private consultation / medical (30 minutes)||Standard Fee £90.00|
|Standard Service / Exam Private Sick Note / Prescription||Standard Fee £20.00|
|Standard Service / Exam Nursing or residential home medical||Standard Fee £95.00|
|Standard Service / Exam School requested medication care plan (depending on length)||Standard Fee £20-£35|
|Standard Service / Exam Supplementary Report / Documentation (35-50 depending on length)||Standard Fee £50.00|
|Standard Service / Exam Travel card (Bristol City Council paid)||Standard Fee £25.00|
|Standard Service / Exam Overseas patient - private appointment (10 minutes)||Standard Fee £50.00|
|Standard Service / Exam Hourly administration rate for GP work not funded by NHS (any other work not listed above)||Standard Fee £175.00|
Fees with effect from 1st September 2021.
This poster is for guidance only and costs may change without notice.
Administrative records services:
We no longer charge for providing medical records to patients. Please ask at Reception or submit a request via eConsult.
Non NHS Private Fees
Why do GPs sometimes charge fees? Yours questions answered in our FAQ.
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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