Non NHS Services

Why are fees charged?

The government's contract with GPs covers medical services to NHS patients. However, in recent years more and more organisations have been involving doctors in a wide range of non NHS work. This work is not funded by the government, so GPs have to charge a fee to cover their time and other expenses. The NHS covers costs for NHS work, but not for non-NHS work, the fees charged by GPs contribute towards keeping the surgery running and sustainable for the future.


I only need the GP's signature….

When a GP signs a certificate, completes a report or writes a letter it is a condition of remaining on the medical register (which allows them to practice as a doctor), that they only sign what they know to be true. In order to complete even the simplest of forms, the doctor may have to check a patient's entire medical record.


Why does it sometimes take my GP a long time to complete my form/letter?

Time spent completing forms & preparing reports takes the GP away from the medical care of patients which will always have top priority. GPs have an ever increasing workload of forms which must be prioritised against offering appointments and other urgent administration.

Examples of these services are:

  • Fitness to travel
  • Elderly driver medical
  • Sick notes issued in the first seven days of illness
  • Travel claim forms
  • HGV medicals
  • Insurance claims
Certificates and Claim Forms FEE VAT @ 20% PAYABLE
Completion of insurance forms or questionnaires i.e BUPA/Holiday Cancellations/PPP £40 Exempt £40

Simple certificates/To Whom it May Concern Letters
Fitness for gym/diet/work/school/travel
Court Exemption


£8 (VAT maybe exempt in some cases)

Insurance FEE VAT @ 20% PAYABLE
GPR £125 Exempt £125
GPR additional information Fee on Enquiry Exempt Fee on Enquiry
Medical Examinations FEE VAT @ 20% Payable
HGV/PSV/Racing/Taxi/Fitness for travel/employment £140 £28 £168
Adoption/Fostering/Mental Capacity Act £140 £28 £168
Miscellaneous/Other FEE VAT @ 20% PAYABLE
Please enquire Enquiry    

Requests For Completion Of Forms To Participate In A Particular Activity

Organisations are increasingly asking doctors to take responsibility for the safety of people completing a number of activities. Examples of these include extreme or dangerous sports, travel to exotic locations or travel with an existing medical condition.

It is not possible for doctors to predict the future and they cannot guarantee that a medical problem will not occur while undertaking these activities. Unfortunately a number of doctors have been taken to court about forms that they have signed and one doctor has been asked to pay for the cost of an aeroplane diverting due to a medical emergency when they had signed a ‘fit to fly’ form.

If you wish us to complete these forms for you they must be handed into the reception team with written consent and any explanatory notes that you think may be helpful. It must also be understood that these from will not take priority over treating people who are unwell so there may be a delay whilst your doctor considers the request.

It is important to understand that your doctor may not be able to sign the form, you may in some circumstances you may be offered an alternative such as a letter explaining your medical condition. Sometimes it may be advised that you need to seek a specialist opinion and again this could take a significant amount of time.

None of this work is paid for by the NHS so there will be a charge for any report or form completed by a doctor at the practice and any specialist opinion will need to be organised and paid for privately.