Some services we provide are not covered by the NHS contract and therefore require a fee. These include a range of administrative tasks and non-NHS medical reports or medicals.
Examples of Non-NHS Services
- Driving medicals (HGV, Taxi, etc.)
- Insurance claim forms
- Private sick notes
- Shotgun or firearms reports
- Letters or statements of fact
Non‑NHS Fee Information
In line with BMA guidance, charges apply for any work not included in the NHS contract, as a patient you need to be aware of the following:
- You will be informed of the fee before any work is started.
- Payment is required in advance.
- The practice may decline requests for private work.
- Standard turnaround time is up to 28 days; we will notify you of delays beyond this.
- Fees may vary depending on the complexity of the request.
- Prices may change without notice.
The reception or administration team will assist you with an queries related to non-NHS work and the costs related.
Private Fees: Frequently Asked Questions
Isn’t the NHS supposed to be free?
The NHS covers most healthcare, but not everything. Charges exist for some services, such as prescription fees and insurance reports, which fall outside the NHS contract.
Aren’t GPs already paid for this?
GPs are self‑employed, not NHS employees. The NHS pays for NHS work only. Non‑NHS tasks must cover the GP’s costs—staff, building expenses, utilities, administration and the time required to complete the work.
What is covered by the NHS and what isn’t?
The NHS contract covers medical care for NHS patients. Increasingly, other organisations ask GPs to provide non‑medical documentation simply because they are trusted professionals. These tasks fall outside NHS-funded care.
Why do some letters cost £40 while others cost more?
Costs reflect:
- The time needed to review your full medical record
- The complexity and length of the requested letter
- Dictation, typing, printing, and postage costs
Some requests are straightforward; others require extensive review to ensure accuracy.
Why can it take time to complete my form?
NHS clinical care must always take priority. Paperwork is completed outside routine clinical duties and adds to an already heavy workload.
I only need the doctor’s signature—why is this still chargeable?
A GP must only sign information they know is accurate, which often requires reviewing your entire medical record. Incorrect or careless signing can have serious professional consequences.
How You Can Help
- Check if a doctor’s signature is truly required.
Some documents (e.g., passport applications) can be signed by other trusted professionals. - Use the NHS App.
You can access and print your immunisation history, medications, and medical records—useful for applications such as Blue Badges. - Submit multiple forms together.
Your GP may be able to process them together, potentially at a reduced cost. - Allow enough time.
Private forms can take up to 4 weeks to complete.