Not all services at the practice are available under the NHS. Where patients request non-NHS items or services, a private fee may be payable in accordance with British Medical Association (BMA) guidance and in line with charges applied by other General Practice surgeries. Fees and charges for these services are shown below which may be payable in advance. Any questions in regards to these services, you can contact us on 0208 578 1914.
Private Services List & Fees
| Fees Payable By PatientsThis will be completed in due course. In the meantime please ask at reception for fees charged | |
| Medical Examinations | Fee |
| Full Medical Examination and Report Drivers or Pilots vocational licences (e.g. LGV, PCV, Taxi, Pilots, etc.) Fitness to drive for insurance purposes (e.g. Elderly or racing driver) Employment or Pre-Employment medicals (e.g. Army, Police) Sports Fitness/Fitness to participate in event | |
| Full Medical Examination with report and opinions Power of Attorney (examination & certificate) Court of protection (examination & certificate) Court exemption from attending as a witness on medical grounds Employers examination | |
| Legal aid report | |
| Accident &/or Sickness Insurance Medical Examination Includes Loan, Income and Mortgage Protection | |
| Certificates, Forms & Reports | Fee |
| Copies of insurance medical reports (Requested by patient) | |
| Coroner’s Report | |
| ECG copy | |
| Freedom from infection certificate | |
| Claim Forms Gym membership cancellation Holiday insurance cancellation Housing benefits report Life/Health insurance claims forms (BUPA, PPP etc.) Police witness report School fees insurance form Slimming club/health club certificate / questionnaires etc. | |
| Ofsted report | |
| Private sick certificate for employer, college etc. Completing a DS1500 form | |
| Public Carriage office form | |
| Solicitors report (p/h) | |
| Miscellaneous | Fee |
| Any simple letter to support Non–NHS information (e.g. fitness to fly. To whom it may concern, housing, social services etc.) | |
| Complex letter requiring extracts from medical records | |
| Photocopying charges | |
| Private prescription for travel aboard | |
| Witnessing Power of Attorney | |
| Other private extracts from notes | |
| HIV testing, counselling & taking a blood sample Additional saliva test/blood samples (upon examination) | |
| Access to Medical Records | Fee |
| Access to health records charge (whether copies are required or not) | |
| Viewing records only – no copies required (If records have been added to in the last 40 days, viewing is free) | Fee |
| Records held only on computer | |
| Records held part on computer and part manually (paper) | |
| Records held manually (paper) | |
| Copies of health records required | Fee |
| Records held only on computer | |
| Records held part on computer and part manually (paper) | |
| Records held manually (paper) | |
| Private consultations and tests | Fee |
| Private appointment with doctor | |
| Private appointment with nurse | |
| Any tests required (fee is in addition to private consultation fee) | |
| Fees Payable by Other Authority/Organisation | |
| Insurance Medical Reports / DVLA | Fee |
| Insurance General Practitioners report | |
| Insurance Company – supplementary reports | |
| DVLA Report (Series II pro-forma)VOC certificateCopy of visual fieldsVOC resting ECG | |
| Solicitors – Forms & Reports / Copies of Medical Records | Fee |
| Copies of medical records – as per access to medical records | |
| Letter providing information from patient records (Fee depending on complexity of letter) | |
| Local Authority | Fee |
| Lecture Fees | |
| Adoption medical | |
| Department of Works and Pensions (DWP) | Fee |
| Disability living allowance formsDSA 1550 forms | |
Non-NHS Work
What is non-NHS work and why is there a fee?
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 because the service is not covered by the NHS, for example, providing copies of health records or producing medical reports for insurance companies, solicitors or employers.
The Government’s contract with GPs covers medical services to NHS patients but not non-NHS work. It is important to understand that many 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.
In recent years, however, 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 ensure that information provided to them is true and accurate.
Examples of non-NHS services for which GPs can charge their own NHS patients are:
- accident/sickness certificates for insurance purposes
- school fee and holiday insurance certificates
- reports for health clubs to certify that patients are fit to exercise
- private prescriptions for travel purposes
Examples of non-NHS services for which GPs can charge other institutions are:
- life assurance and income protection reports for insurance companies
- reports for the Department for Work and Pensions (DWP) in connection with
- disability living allowance and attendance allowance
- medical reports for local authorities in connection with adoption and fostering
- copies of records for solicitors
Do GPs have to do non-NHS work for their patients?
With certain limited exceptions, for example a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients. Whilst GPs will always attempt to assist their patients with the completion of forms, they are not required to do such non-NHS work.
Is it true that the BMA sets fees for non-NHS work?
The British Medical Association (BMA) suggest fees that GPs may charge their patients for non-NHS work (i.e. work not covered under their contract with the NHS) in order to help GPs set their own professional fees. However, the fees suggested by them are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates they suggest.
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 and paperwork takes up an increasing amount of their time. Our GPs do non-NHS work out of NHS time at evenings or weekends so that NHS patient care does not suffer.
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 (the doctors’ regulatory body) or even the Police.
If you are a new patient we may not have your medical records so the doctor must wait for these before completing the form.
What will I be charged?
It is recommended that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to individual doctors to decide how much they will charge. The surgery has a list of fees based on these suggested fees which is available on request.
What can I do to help?
- Not all documents need a 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. Read the information that comes with these types of forms carefully before requesting your GP to complete them.
- 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 at the same time to speed up the process.
- Do not expect your GP to process forms overnight: urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this may cost more. Usually non-NHS work will take 2 weeks.
Doctor’s Letter
You may require a doctor’s letter for various reasons e.g. fitness to travel or confirmation of medical conditions. Please contact reception to make your request which will be dealt with in the most appropriate way.
If you are pregnant and require a doctor’s letter as proof of ‘permission to travel’ please be aware that many airlines require your doctor’s letter to be signed within 48 hours of international travel.
Please note that you will not be provided with a doctor’s ‘permission to travel’ letter if you are due in less than 30 days or if your pregnancy is considered high-risk.