Why do GPs sometimes charge fees?

Your questions answered…

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.

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

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 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

The Groves Medical Group

Fees for Non NHS Services

The Practice will make a charge for certain services that are not available under the NHS.

Forms may take on average a minimum four weeks to complete by the surgery.

Payment is required by the practice prior to forms being completed.

Description  Current Price
Accident or Sickness Insurance Certificate  £           49.00
British Citizenship Application Referee  £           70.00
Capability for Work Questionnaire  £           42.00
Chicken Pox  £         104.00
Childminder Health Form  £         113.00
Court of Protection Assessment of Capacity Form (COP3)  £         167.00
Court of Protection Assessment of Capacity Form (COP3) with Home Visit  £         260.00
Cremation Form  £         102.00
DVLA Medical Examination Report variable
Exemption from Life in UK Immigration Test  £           70.00
Firearm/Shotgun License  £           46.00
Fitness for Health Club/Exercise/Sporting Events  £           49.00
Fitness to Travel/Fly  £           37.00
Freedom from Infection Certificate  £           37.00
Gender Recognition Medical Report  £         105.00
Government Medical Examination  £         167.00
Government Pro Forma Report  £           77.00
Government Written Report  £         117.00
GP Confirmation Certificate  £           25.00
GP Insurance Report  £         129.00
GP Supplementary Report  £           34.00
Hepatitis B Adult  £           44.00
Hepatitis B Child  £           44.00
School Fees or Holiday Insurance Certificate  £           49.00
Holiday Travel insurance certificate  £           49.00
Incapacity Benefit Report  £           62.00
Influenza  £           16.00
Influenza  £           22.00
Insurance claim form (Accident/sickness/holiday cancellation)  £           49.00
Jap B Encephalitis  £         104.00
Letter  £           25.00
LPA Assessment  £         167.00
LPA Assessment with Home Visit  £         260.00
LPA Certificate Provider  £           37.00
Malaria Prescription Fee  £           22.00
Medical Report variable
Medical Report & Request of records  £           49.00
Men ACWY  £           71.00
Meningitis B  £         137.00
Mental Capacity Report  £         167.00
Mental Capacity Report with Home Visit  £         260.00
Micro suction private one ear  £           43.00
Nasal Flu  £           62.00
Occupational Health Form  £           62.00
Occupational Health Form – St George’s  £           32.00
Pertussis  £           62.00
Pilot’s License Medical  £         118.00
Police Medical Questionnaire Form  £           37.00
Pre-Employment Medical Report without Examination  £         124.00
Pre-Employment Medical Report with Examination  £         167.00
Private Medical Examination  £         242.00
Private Pro Forma Report  £         110.00
Private Sick Note  £           49.00
Private Written Report  £         165.00
Proof of Life Certificate  £           37.00
Proof of Life Certificate with Home Visit  £         146.00
Rabies  £           82.00
School Fees Certificate  £           49.00
Student Finance England Form  £           49.00
Targeted GP Insurance Report  £         114.00
Taxi Medical  £         109.00
Tick Borne Encephalitis Adult  £           82.00
Tick Borne Encephalitis Junior  £           82.00
Complex Letter Requiring Professional Opinion  £           39.00
Straightforward Certificate of Fact  £           25.00
Twimc Letter  £           22.00

Typhoid  £           38.00
University letter  £           62.00
Visa/Immigration Application Declaration  £           62.00
Yellow Fever  £           82.00
Yellow Fever Re-issue Certificate  £           22.00

Non-NHS Services (No Charge)

  • Job Centre Plus ESA Reports
  • Get Active Referrals
  • Achieving for Children Reports
  • Debt Evidence forms
  • Health Assessment Advisory forms
  • Public Health England Immunisation Questionnaires
  • Housing Association/Application/Benefit forms
  • Council Tax Exemption form

Please note that the doctors cannot provide the following services:

  • Passport countersignature
  • Character Reference