Private Reports & Fees

About charging fees:

The NHS provides most health care free of charge. However there are a number of other services for which fees can be charged. These are mainly for services not covered by the NHS, such as medical reports for insurance companies. Doctors are involved in a whole range of non-medical work, largely on the basis that they occupy a position of trust within the community, and are in the position to verify the accuracy of information. If a GP signs a certificate or completes a report, it is a professional duty that s(he) checks the accuracy of such information. This may involve examining the patient's entire medical record.

What certificates do I have to pay for?

There are a number of certificates which GPs are obliged to provide free of charge. These include certain certificates supporting claims by patients for social security benefits. If a patient is off work for seven days or less the GP does not have to provide a sick note. A patient can be refused a note or charged for a private one for illnesses of seven days or less.

Fees For Medical Reports, Letters, etc: (updated July 2016)

Private GP Consultation - 20 Minutes	Patient	60 (£)
Private Repeat Prescriptions For Non-NHS Patients	Patient	30 (£)
Diagnostic Blood Tests	Patient	Call For Price
Access to records under Data Protection Act	Who Pays?	Charge
Computerised records	Patient	10 (£)
Manual records or combination of manual/computer records	Patient/Solicitor	50 (£)
Administration Charge for sending by recorded delivery	Patient /Solicitor	10 (£)
Adoption and Fostering	Who Pays?	Charge
Form IHA Initial Health Assessment	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	58.12 (£)
Forms M, B Obstetric Neonatal reports	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	44.95 (£)
Forms C, D, YP or AME Full examination of child	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	97.91 (£)
Form AH Health assessment, Prospective carer	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	73.86 (£)
Form AH2 Update report, parent/carer	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	24.36 (£)
Childminder (Ofsted health declaration booklet)	Patient/Employer	56.25 (£)
Examination of children in /for care-first exam	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	37.99 (£)
Subsequent exam	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	24.36 (£)
Freedom from infection for children for care	Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by  the adoption/fostering  agency	24.36 (£)
Attendance allowance/disability living allowance	Who Pays?	Charge
GP factual report	DWP	33.60 (£)
DS1500	DWP	17.70 (£)
Blue Badge & Freedom Pass schemes	Who Pays?	Charge
Report only	Local authority	25.15 (£)
Examination and report	Local authority	39.22 (£)
Letter of Appeal against adverse decision	Patient	50 (£)
BUPA, PPP, WPA, Private medical insurance (PMI)	Who Pays?	Charge
Report on prospective subscriber PMI ? Extract from records	Insurance Company	69 (£)
Complete/sign GP authorisation form	Patient	25 (£)
Full medical exam and report	Insurance Company	169.50 (£)
Certificates and forms	Who Pays?	Charge
Lasting Power of Attorney - Property and Financial Affairs	Patient	166 (£)
Lasting Power of Attorney - Health and Welfare	Patient	166 (£)
Application For Naturalisation as a British Citizen - form AN from the UK Border Agency	Patient - bring photograph	40 (£)
Criminal injuries compensation report on pro forma	Criminal Injuries Authority	38 (£)
Freedom from infection certificate	Patient	25 (£)
Letter re fitness to exercise, travel etc	Patient	35 (£)
Passport application (including counter-signing photograph)	No longer done. Due to change in regulations from Passport and Identity Service, the practice can no longer countersign passport applications. Date 27.10.2012	60 ( need to patient and seen at practice for 2 yrs) (£)
Private Sick Note (any sick note within 7 days is private)	Patient	25 (£)
Provident Association claim form (e.g. BUPA/PPP)	Patient	40 (£)
School fees insurance claim form	Patient	40 (£)
Fitness to attend state school	Local authority	40 (£)
Fitness for sport, school, university, etc	Patient	40 (£)
Health Certificate to attend university, college, teacher and nurses training	Patient/Employer	70 (£)
Dentists, completion of Application for first registration of a dentist (GDC)	Patient	70 (£)
PADI Fitness for Diving Medical Statement	Patient	55 (£)
Driving	Who Pays?	Charge
Full physical medical examination and report, eg HGV, PSV, some minicab applications (GP will confirm fee on sight of application form)	Patient	110 (£)
Limited physical examination (eg BP check & Vision check) with report eg London Taxi & Private Hire Medical Declaration (GP will confirm fee on sight of application form)	Patient	70 (PCO Form) (£)
Report no examination (20 to 30 mins)	Patient	60 (£)
Extract from records (15 mins)	Patient	60 (£)
Report to DVLA with examination	DVLA	40 (£)
Report to DVLA No examination	DVLA	23 (£)
Seat belt exemption	Patient	70 (£)
Eelderly driver certificates	Patient	70 (£)
Driving licence photograph	Patient	40 (£)
PCV/LGV driver	Patient/Employer	100.50 (£)
Local Authority PCV/LGV driver	Local authority	90.50 (£)
Employment - Local Authority/Police/NHS	Who Pays?	Charge
Shotgun or Firearms Medical Report	Patient	45 (£)
Police/Local Authority medical exam, certificate, opinion	Local Authority	109.50 (£)
Local Authority/Police: report without examination (30 mins)	Local Authority	74.50 (£)
Extract from records (no examination or opinion -15 min)	Local Authority	37.50 (£)
LA/Police Medical for higher grade appointment	Local Authority	109.50 (£)
NHS Employee Prospective	Local NHS Body	39.22 (£)
Fireman's Medical Examination	Fire Master	109.50 (£)
Fireman's Medical Examination for Continuation of part time FM	Fire Master	109.50 (£)
Employment - Private	Who Pays?	Charge
Full medical with report or certificate (private/insurance - 45mins)	Patient/Employer/Insurance	169.50 (£)
Report without examination (private/insurance -30mins)	Patient/Employer/Insurance	109.50 (£)
Report on Pro-forma (20mins)	Patient/Employer/Insurance	73.50 (£)
Extract from records (no examination or opinion -15 min)	Employer	55 (£)
Certificate of Incapacity - this can includeat the GP's discretion - a To Whom It May Concern letter with brief details of a patient's medical condition	Patient	30 (£)
Extract from records	Who Pays?	Charge
Private (15 mins)	Employer	55 (£)
Government /Local authority		33 (£)
Fitness for sport, school, university, etc	Who Pays?	Charge
Examination and report	Patient/Insurance company	132 (£)
Extract from records 15mins	Patient/Insurance company	55 (£)
Short Certificate of Incapacity	Patient/Insurance company	40 (£)
Insurance (Accident)	Who Pays?	Charge
Examination and report	Insurance Company/Patient	148 (£)
Report without examination. Medical opinion to be included at GP's discretion.	Insurance Company/Patient	109.50 (£)
Report on pro forma (20 mins)	Insurance Company/Patient	66 (£)
Extract from records	Insurance Company/Patient	66 (£)
Short certificate	Insurance Company/Patient	55 (£)
Insurance (Sickness)	Who Pays?	Charge
Examination and report	Insurance Company/Patient	169.10 (£)
Extract from records (15 mins)	Insurance Company/Patient	56 (£)
Certificate of Incapacity	Insurance Company/Patient	55 (£)
Insurance Claim form completion	Patient	45 (£)
Life Assurance	Who Pays?	Charge
GP examination own patient	Insurance Company	149.50 (£)
GP report no examination	Insurance Company	109.50 (£)
GP supplementary report	Insurance Company	25 (£)
Certificate of Existence	Patient	25 (£)
Local Authority	Who Pays?	Charge
Work in Surgery 2 ½ to 31/2 hours	Local Authority	402.50 (£)
Work in Surgery Short session 1 hour	Local Authority	134 (£)
Work out of Surgery 2 ½ to 31/2 hours	Local Authority	201.50 (£)
Work out of Surgery short session 1 hour	Local Authority	77.50 (£)
Lecture to the public	Local Authority	58.56 (£)
Emergency Visits 9AM to 8PM	Local Authority	25.68 (£)
Emergency Visits 8PM  to 9AM	Local Authority	52.06 (£)
Council tax Certificate of severe impairment		Free (£)
Mental Capacity Certificate	Who Pays?	Charge
With examination	Solicitor/Guardian	160 (£)
No examination	Solicitor/Guardian	85 (£)
Mental Health Psychiatric Examination- non specialist fee	Local Authority	53.76 (£)
Private Medical Examinations and Reports	Who Pays?	Charge
To Whom It May Concern Letter in Support of Rehousing	Patient	60 (£)
Full examination with report or certificate, eg Candidate for the Priesthood Medical Examination Report	Patient/Employer/Insurance	145 (£)
Government Department	Government Department	60 (£)
Report no examination - Private (30 mins)	Patient/Employer/Insurance	109.50 (£)
Report no examination - Report on Pro-forma (20mins)	Patient/Employer/Insurance	73 (£)
Extract from records - Private (15 mins)	Patient/Employer/Insurance	73 (£)
Travel Abroad	Who Pays?	Charge
Pregnant Woman's Medical Certificate Attesting Fitness to Fly noting their good health and indicating the baby's expected date of birth	Patient	60 (£)
Fitness to travel certificate - pre-existing illness	Patient	35 (£)
Prescription for drugs required solely for purpose e.g. Malaria tab	Patient	25 (£)
Vaccination certificate	Patient	25 (£)
Holiday cancellation simple certificate	Insurance Company/Patient	40 (£)
Holiday cancellation insurance claim	Insurance Company/Patient	65 (£)
Simple letter detailing prescription medicines with Surgery stamp	Patient	10 (£)
Treasury Rates	Who Pays?	Charge
Extract from records		42 (£)
Report written (eg 45 mins)		128 (£)
Medical examination and report/complex		169.50 (£)
written report and opinion (eg 60 mins)		169.50 (£)
Sessional fee (eg 3 hrs) .		339.50 (£)
Treasury rate  for Work in surgery		339.50 (£)
Extract from records		37.50 (£)
Report on pro forma (eg 20 mins)		49 (£)
Report written (eg 30 mins)		74.50 (£)
Medical examination and report in surgery (eg 45 mins)		109.50 (£)
Session (eg 3 hours)		450 (£)
Treasury rates are applicable to: AXA/PPP Healthcare Occupational Health Services Ltd, Department for Education and Skills (DfES), Department for Work and Pensions (Disability Support Division), Department of Trade and Industry (Coal Liabilities), Highlands and Islands Airport uthority (HIA), NHS Pensions Agency, Northern Ireland Civil Service Occupational Health Service.