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CQC Rating GoodNon 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
Private Fees
Services which fall outside the NHS are charged to either the patient or a third party.
Charges correct as of August 2023
Access To Medical Records
Service |
Price |
Access to and provision of full medical records under data protection act | Free |
Access to and provision of computer medical records under the data protection act | Free |
Access to view only medical record without copies | Free |
Insurance Reports – Life/Medical/Pensions
Service |
Paid by |
Price |
General Practitioner Insurance Report - GPR | Insurance Company | £140.00 |
Supplementary GP Insurance Reports | Insurance Company | £30.00 |
Life Insurance Medical Examination | Insurance Company | £140.00 |
Special Practitioners Report | Insurance Company | £70.00 |
Standard Medical Insurance Claim Form - Non Travel | Patient | £50.00 |
Complex Medical Insurance Claim Form - Non Travel | Patient | £75.00 |
Schools Fees Insurance Claim Form | Patient | £50.00 |
Provision of Medical Letter to assist with Insurance Claim | Insurance Company | £50.00 |
Continuing Claim Form/Disability Certificate | Insurance Company/Patient | £50.00 |
HIV Blood Test without counselling (Kit Supplied) | Insurance Company | £45.00 |
Driving Medicals and Reports
Service |
Paid by |
Price |
HGV Medical - 30 minute appointment with GP | Patient | £160 + VAT = £192.00 |
PVC Medical - 30 minute appointment with GP | Patient | £160 + VAT = £192.00 |
Taxi Driver /Other Occupational Driving Medical | Patient | £160 + VAT = £192.00 |
DVLA D4 Medical | Patient | £160 + VAT = £192.00 |
DVLA Fitness to Drive Questionnaire – Without Assessment | DVLA | £120.00 + VAT = £144.00 |
DVLA Fitness to Drive Questionnaire – With Assessment | DVLA | £120.00 + VAT = £144.00 |
Elderly Driver Medical for Motor Insurance | Patient | £135.00 + VAT = £162.00 |
Department of Work and Pensions
Service |
Paid by |
Price |
Completion of DS1500 | DWP | £33.50 |
Completion of Factual Report | DWP | £70.00 |
JobCentrePlus Benefits Claim Form | Patient | £24.00 |
Occupational Health/Firearms/Medical Reports
Service |
Paid by |
Price |
Provision of medical information to assist in pre-employment occupational health. No Opinion | Employer | £75.00 |
Provision of medical information to assist in pre-employment occupational health. With Opinion | Employer | £135.00 |
Simple Form for pre-employment | Patient | £40.00 |
Army - Pre employment medical/RG Medical report | Army | £65.00 |
Army Recruitment - Provision of medical notes after acceptance into armed forces | Army | £50.00 |
Firearm Application | Patient | £125.00 + VAT |
Firearm Renewal Application | Patient | £75.00 + VAT |
Completion of Medical Student/Student Nurse/ Dental Student Occupational Health Form | Patient /University | £125.00 + VAT |
Travel Claim form | Patient | £75.00 + VAT |
Cremation Forms | Funeral Director | £82.00 |
To whom it may concern Letter | Patient | £50.00 |
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.
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