Non-NHS Fees and Charges

It is important to understand that many 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 fees charged by GPs contribute towards their costs.

The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. In recent years, however, 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 ensure that information provided to them is true and accurate.

BMA suggest fees for non-NHS work which is not covered under GP’s NHS contract, to help GPs set their own professional fees. However, the fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested. The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up the individual doctor to decide how much to charge. Surgeries should have lists of fees available for patients.

Private Treatment/Requests: What you need to know

Central Surgery Non-NHS Fees and Charges 28/03/2019

Medical Examinations/Reports


Full medical and report including

HGV /LGV / PSU / PCV /COACH/ BUS / TAXI Elderly/ Diabetic driver




Pre-Employment Examination and Report



General and Employment Medical Examination and proforma report



Proforma report only



Extract from records



Assessment of Capacity ( for power of attorney/court of protection)




Written Report without Examination, providing a detailed opinion and statement on the condition of the patient (eg 30 minutes)



GP Report for Insurance Applicants



GP Supplementary reports



Certificates Letter and Forms


Letter re Fitness to Exercise



Fitness to Travel Letter (no medical)



Accident or Sickness Insurance Certificate - short certificate of incapacity without examination for patient to claim under accident or sickness insurance



Fitness to Travel (with examination)



Fitness to Perform



Shotgun Licence



Freedom from Infection Certificate



Private Sick Note (any sick note within the first 7 days is private)




Validation of Private Medical Insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form


Letter to Airline regarding Medication etc



Cancellation of Holiday Claim Form



To Whom It May Concern Standard Letter

£20.00 - £50.00


Private Prescription



Childminder (OFSTED health declaration form)



Medical Insurance certificate (e.g. BUPA, PPA, PPP)





Adoption fees are usually paid by the prospective parent, sometimes by the adoption/fostering agency or authority. This needs to be established prior to your appointment


Form AH – Health assessment, Prospective Carer



Form AH2 – Adult Health Update, Parent





Overseas Visitors (those not eligible for NHS treatment)


Private Consultation (20 minutes) (costs of drugs and dressings will be additional)




Method of Payment

We accept cash and cheques only. Cheques should be made payable to ‘CENTRAL SURGERY’ unless advised otherwise.

Payment for services provided to patients NOT REGISTERED HERE must be CASH ONLY.

Payment must be made in advance. 

If you require any further information specifically related to fees charged for Non NHS services please ask at reception in the first instance.