The Rycote Practice

Thame Health Centre
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Non NHS Fees

Services which are outwith the NHS Contract

The National Health Service provides most healthcare to the majority of people free of charge, but there are exceptions. GPs are self-employed and are contracted to provide NHS general medical services for their patients.

Sometimes, GPs are asked to provide additional services which fall outside their contract and in these circumstances, they are entitled to make a reasonable charge for providing them.

Your questions answered

Isn’t the NHS supposed to be free?

The National Health Service provides most healthcare to the majority people free of charge, but there are exceptions: 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.

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 to do non-medical work 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.

Examples of non-NHS services for which GPs can charge their NHS patients are:

  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports
  • statements of fact relating to general health e.g. for children’s dance classes
  • Letters requested by, or on behalf of, the patient
  • Holiday cancellation claim forms
  • Referral for private care forms

Examples of non-NHS services for which GPs can charge other institutions are:

  • medical reports for an insurance company
  • some reports for the DSS/Benefits Agency
  • examinations of occupational health

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 can I do to help?

  • If you have several forms requiring completion, present them all at once.
  • Do not expect your GP to process forms overnight

Examples of Non-NHS Services include the following: 

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.) 
  • Insurance Claim Forms 
  • Prescriptions for taking medication abroad 
  • Private Sick Notes 
  • Vaccination Certificates 

Fees for Non-NHS Work

These charges are subject to change at any time. If you have a specific enquiry regarding non-NHS charges, please read the information on the website or contact our Reception team.

Type of WorkSurgery Fee
Accident Insurance: GP report for insurance applications£110
Accident Insurance: Accident Insurance Certificate/Short Certificate of Incapacity – No exam£70
Adoption & Fostering: AH2£85
Attendance Allowance: GP Factual Report for disability & attendance allowance£33.50
Attendance Allowance: DS1500£17.50
Blue Badge: Brief SummaryNo charge
Case Conference & Safeguarding Reports: Dependent upon complexityFor discussion
Character Reference£40
Child Minding Health Form£110
Criminal Case Reports£52.80
Criminal Cases Medical Report£211
Disabled Students Allowances: DSA Form£35
DVLA: GP Examination – Invoice DVLA£85
DVLA: ESA113 FormsFree
Expert Witness Fees: Legal Aid (GP Report)£50.40
Expert Witness Fees: Non Legal Aid£110
Firearms Licence£110
Fitness to Attend School£110
Fitness to Drive Medicals: GP Medical£110
Fitness to Exercise£60
Fitness to Travel: Full medical & report£110
Fitness to Travel: Short Certificate, pre-existing problems£40
Fitness to Travel Certificate: Pregnant women/Medical Certificate/Fitness to Fly£40
Fitness to Travel: Relating to Medications for flights/Travel with Medicine£40
Freedom from Infection£85
HGV Medical: GP Examination£150
Holiday/Travel Insurance Cancellation£60
Housing Needs Reports£40
Income Protection Insurance£110
Legal Application: Victims of Domestic AbuseFree
Life Insurance£110
Medical Records Access to Information: IGPR Access to medical records feeNo charge
Pilot Fitness Licence Applications: Full medical & report£150
Pilot Fitness Licence Applications: No medical needed£110
Pilot Fitness Licence Applications: Extract from medical records£60
Power of Attorney: Witnessing lasting power of attorney£60
Power of Attorney: Examination & certificate£110
School Fees Insurance Form£70
Sports Fees: GP’s can charge fees to patients or sports regulatory bodies£60
Taxi Driver Medical: Form & medical£150
Non NHS LetterFrom £20
Private Questionnaire (i.e. BUPA)From £40

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

Unfortunately due to medico-legal reasons, we are not able to offer Court of Protection Capacity Assessments.