Non NHS Private Fees

 

Charges and fees

Reviewed: August 2019

Important

  • Other charges for non-NHS work available on request
  • Boxing medicals are not undertaken at this practice
Private Service Fee
Prescriptions
Private Prescription for Drugs for Travel or not needed immediately £15
Medical Examinations & Reports
Single extract from Record £50
Proforma Report – no examination (20 minutes) / “Tick-box” Report £70
Report: £35.00
Full Medical Examination and Report (45 minutes)  £150
Report and Opinion - with examination (30 minutes)  £120
Report and Opinion - no examination  £70
PMA Charge - General Practitioner Report (BMA-approved charge)  £130
PMA Targeted Report (BMA-approved charge)  £24.10
DNA/Private Blood Tests £50
Hackney Carriage Medical/Driving Medical  £100
HGV Medical (30 minutes)  £100
Adoption or Fostering Medical (£73.86 per adult will be paid by Social Services)  -
European Marathon Medical (no examination) £15
Certificates and Forms
Private Sick Note £15
Insurance Claim Forms (for illness/accident/BUPA referrals) £35
Health Club – Fit to Exercise £20
Driving Licence/ID Card Photo £25
Firearms Certificate £80
Freedom from Infection Certificate  £25
Vaccination Certificate or Computer Printout of Immunisation Records £10
Holiday Cancellation Certificate £40
Fitness to Travel £30
Letter for Travelling Overseas with medication & Medical Items/Equipment  £30
Theatre Fitness Examination/Certificate £30
Educational Fee (Oxford & Cherwell Valley College)  £30
Parachute Jump Medical (10 minutes)  £30
Medical record information
Full or part medical record (Subject Access Request – first time) – see SAR Policy  Free
Record search and report (requires patient consent form)  £15
Reports
Employer’s report and opinion (with examination) £120
Employers report and opinion (without examination)  £70
OFSTED Child Minder Report £40
Mental Capacity forms
Power of Attorney  £50 to £100
Court of Protection DHC consultation £100
Court of Protection Home Visit consultation  £200

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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