Private fees from December 2025
The following work is not covered by the NHS and will therefore result in a charge
| CERTIFICATES | PRACTICE RATE |
| Fitness to Travel (including reason for taking medicines abroad) | £75.00 – £100.00 depending on length of report |
| Incapacity Certificate | £60.00 |
| Private Payment Protection | £60.00 |
| Private Sick Note | £35.00 |
| Vaccination Certificate | £57.00 |
| Life Certificate | £75.00 |
| Verification of identity | £75.00 |
| MEDICAL EXAMINATIONS WITH REPORT | PRACTICE RATE |
| Power of Attorney | £165.00 |
| Pre-employment | £165.00 |
| Private Medicals | £165.00 |
| Mental Capacity Assessment (to complete a will, etc) | £165.00 |
| Confirmation of life/identity for foreign pensions | £75.00 |
| Assessment of Capability to work | £165.00 |
| Fostering Medical | £165.00 |
| Adoption Medical | £165.00 |
| Armed Forces Onboarding records, reports and letters required | £165.00 |
| REPORTS WITHOUT EXAMINATION | PRACTICE RATE |
| Holiday Cancellation Report | £75.00 |
| Ofsted Health Declaration | £87.50 |
| Personal Accident Claim Form | £165.00 |
| Insurance reports | £150.00 |
| TRAVEL VACCINATIONS (Not included under NHS, please check with practice first) | PRACTICE RATE |
| Hepatitis B | £140.00 (course of 3) £55 (per vaccine) |
| Meningitis ACWT for travel | £55.00 |
| Rabies | £177.50 (course of 3) |
| OTHER SERVICES | PRACTICE RATE |
| Copying of notes & reports (outside SAR) | £1 per side |
| Health Questionnaire for Private Gyms & Clubs | £75.00 |
| Private blood tests | £75.00 |
| Private Prescription | £25.00 |
| Scouts Medical (Camp America) | £60.00 |
| To Whom It May Concern Letter | £50.00 -£100.00 Depending on length of time to complete |
| Medical Report for not attending court Firearms Letter for Police | £100.00 – £140.00 £75.00 |
Half price for patients, over the age of 65 or under 16
Non-NHS fees for private work
All charges are at the doctor’s discretion.
Reports and letters will take between two and six weeks to complete and full payment will be required before the report is finalised. Credit and debit cards are not accepted. The surgery does not provide confirmation of identity such as passport or driving licence verification.
What is non-NHS work and why is there a fee?
The NHS provides most healthcare to most people free of charge, but there are exceptions. Prescription charges have existed since 1951 and there are various services for which fees apply.
A fee is charged when a service is not covered by the NHS contract. This includes providing copies of medical records or producing reports for insurance companies, solicitors, employers or other organisations.
GPs are not NHS employees. They are self-employed and must cover the costs of staff, buildings, heating, lighting and general overheads in the same way as any small business. The Government’s contract with GPs covers the provision of medical care to NHS patients. It does not cover private or administrative work.
Increasingly, organisations request non-medical reports from GPs simply because they are trusted professionals or because a company wishes to verify information supplied by an individual.
Some of our non-NHS workload may be completed by our team within the PCN, depending on the type of request.
Examples of non-NHS services for which GPs may charge NHS patients
- Accident or sickness certificates for insurance purposes
- School fee or holiday insurance certificates
- Reports for health clubs confirming fitness to exercise
- Private prescriptions for travel
Examples of non-NHS services for which GPs may charge other organisations
- Life assurance and income protection reports for insurance companies
- Reports for the Department for Work and Pensions relating to disability living allowance or attendance allowance
- Medical reports for local authorities linked to adoption or fostering
- Copies of records requested by solicitors
Do GPs have to carry out non-NHS work?
With limited exceptions such as confirming unfitness for jury service, GPs are not obliged to complete non-NHS work for patients. GPs will always try to help, but they are not required to complete every form or report requested.
Does the BMA set fees for non NHS work?
The British Medical Association provides guidance on fees that GPs may charge for non-NHS tasks. These are suggestions only. GPs are free to set their own fees and are not required to follow BMA guidance.
Why does it sometimes take a long time to complete a form?
Time spent completing forms or reports takes the GP away from providing clinical care. Most GPs already have significant workloads and administrative tasks are carried out in their own time, usually during evenings or weekends, so that NHS care is not affected.
I only need a doctor’s signature. Why is this a problem?
When a doctor signs a certificate or report, they must be certain that the information provided is accurate. This may require checking the patient’s entire medical record. An incorrect or careless entry can have serious consequences for the doctor with the General Medical Council or even the Police.
If you are a new patient, we may not yet have your medical records, so the GP must wait for these before completing your form.
What will I be charged?
Patients should be told in advance if a fee applies. The amount charged is determined by the individual GP. A list of standard fees, based on national guidance, is available on request.
How can I help?
- Not all documents require a doctor’s signature. Passport forms, for example, can often be signed by another professional. Check the guidance carefully before asking your GP.
- If you have several forms, bring them together and ask whether the GP can complete them at the same time.
- Do not expect forms to be processed overnight. Urgent requests may require special arrangements and may incur a higher fee.
- Routine non-NHS work usually takes between two and six weeks.