Non NHS Private Fees


2024 Charges

Payment to Elmham Surgery must be made before we can release any Certificates of Reports

  • We only accept Card payments
  • Most of the services offered by the surgery are free under the NHS. The  list of fees is an example of non NHS services.
  • We do not have the specialist knowledge required to perform some sports medicals and patients are advised to contact their club or organisation where such medicals can be performed.
  • Patients are reminded that some certificates and photographs can be countersigned by other professionals who may or may not charge.
Payable by the Patient Cost
Elderly Drivers Fitness No Charge
To Whom it May Concern Letter £36 including VAT
Holiday Cancellation  £72 including VAT
HGV - Full Medical  £132 including VAT
PSV - Full Medical £132 including VAT
Taxi Drivers - Full Medical £132 including VAT
Seafaring Medical  £115 including VAT
Childminder (OFSTED) - Medical £132 including VAT
Fire Arms Licence - without Medical £72 including VAT
Fire Arms Licence - with Medical  £132 including VAT
Fostering & Adoption Form AH - without Medical £72 including VAT
Fostering & Adoption Form AH - with Medical £132 including VAT
Occupational Health - student £72 including VAT
Power of Attorney Forms £72 including VAT
Payable by a 3rd Party  Cost
Community Car Drivers No Charge
Insurance Co request GP Report - without Medical £75 No Vat
Insurance Co request GP Report - with Medical £110 No Vat
Occupational Health - employee £72 including VAT
Occupational Health - employee Pre Employed £72 including VAT
Occupational Health - employee Pre Employed £72 including VAT
Insurance Claim Form £60 No Vat

Why do GPs sometimes charge fees?

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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