Non NHS Private Fees

Medical reports are frequently undertaken by GPs which are outside the doctor’s contracted medical duties and therefore a fee will be charged as recommended by the British Medical Association. Although the GPs will try to do them as soon as possible, priority has to be given to the contracted medical services.

Doctors may carry out specialist examinations that are not covered by the NHS, on the same basis as described above. These include insurance work, HGV or Driving Medicals and Pre-Employment Medicals for which we charge a fee for. Appointments can be arranged via the Receptionists on 015394 88484. Please note all medicals need to be paid for before the appointment.


Charges for Non-NHS Work


  • Cholera (2 doses) - Free
  • Diphtheria, tetanus & polio booster - Free
  • Hepatitis A - Free
  • Hepatitis A&B combined - Free
  • Typhoid - Free
  • Hepatitis B booster - £35
  • Hepatitis B (course of 3 Injections) - £90

Medical Examinations

  • Medical Examinations with reports (Includes Taxi/HGV/PSV/Employment) - £125

Medical Reports & Forms

  • Insurance policy or medical reports - £85
  • Insurance claimant forms - £35
  • Fitness To Travel Form (simple) - £35
  • Fitness To Travel Form (complex) - £75
  • Holiday Cancellation Form - £60
  • Firearms Application Form - £75
  • Initial copy of medical records under GDPR - Free
  • Subsequent copies of records under GDPR - Price on application

Why do GPs sometimes charge fees? Yours questions answered in our FAQ.

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