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Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

  • non_nhs_services3Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
  • Insurance claim forms
  • Passport signing
  • Prescriptions for taking medication abroad
  • Private sick notes
  • 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. 

Fees for non-NHS Services explained

Why do I have to pay?

The NHS will provide most health care to most people free of charge; however there are a few exceptions.

Charges are made to cover the costs of the treatment to the patient, or because the service is not covered by the NHS.

G.P’s are self employed and as such have to cover the costs of staff, buildings, heat and light etc.

The NHS will cover the costs for NHS work but not the costs for any non-NHS work . Subsequently, any fee charged for non-NHS work will cover the G.P’s costs for providing the service.

Examples of non-NHS Services for which G.P’s can charge their patients are:

  • Accident/ sickness insurance certificates
  • Some travel vaccinations


Examples of non-NHS Services for which G.P’s can charge other institutions are:

  • Medical reports for insurance agencies 
  • Examinations of local authorities employees


The British Medical Association (BMA) issue guidelines on suggested fees although each individual practice will set their own charges for each of the services they provide.

Certificates and Claim forms

When a G.P is required to complete a certificate or a report it is a condition remaining on the Medical Register that they sign only what they know to be true.

Inaccurate reporting can have serious consequences for the G.P from the General Medical Council or even the police.

The G.P may have to check the patients’ medical record and this can be very time consuming in addition to their already heavy workload.

Please do not expect requests to be processed overnight. Urgent requests may mean special arrangements have to be made and additional costs incurred.

The current Practice Fees and Charges


We welcome feedback on all policy/procedure/strategy and the way it operates.  We are interested to know if any possible or actual adverse impact that this policy/procedure/strategy may have on any groups in the respect of gender, marital status, race, disability, sexual orientation, religion, belief, age or other characteristics.



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