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Non NHS Private Fees
Learn more about private services fees
About Non-NHS Services
Not all of our services come under the umbrella of the NHS, and these services consequently attract a fee (just as an accountant or solicitor would charge for their time). Our GPs do non-NHS work out of NHS time at evenings or weekends so that NHS patient care does not suffer.
As a general rule, the NHS does not pay for:
- Insurance reports and examinations
- Insurance claim forms
- Employers’ letters, certificates and reports
- Letters for schools, colleges, examination boards, etc
- Letters to the Housing Department
- Medical examinations (eg. pre-employment, HGV, diving)
- Copies of medical records or reports
- Passport forms
- Healthcare for non-UK residents
- Firearms medicals
Not all fees are payable by the patient. Some will be paid by the insurance company or employer, and this can cause some confusion. If you have any doubt about whether you will have to pay please ask our reception staff.
Private Fees and Services
Insurance Reports and Examinations
Insurance companies increasingly ask for a medical report from your GP when you take out life insurance, and many other financial products. In some circumstances they may also require a medical examination. Both of these are paid for by the insurance company.
We cannot give any information about your health to anyone without your written permission. The insurance company will have asked you to sign a consent form for this with your application. On this you can state whether you give your consent, and if so, whether you wish to see any reports before they are sent off – in this situation we will hold on to the report for up to three weeks to give you a chance to request a copy from us (the rules we follow are those laid down in the Medical Reports Act).
Insurance Claim Forms
These frequently have a medical section when the insurance relates to your health – eg. loan insurance, holiday cancellation insurance, private health insurance. You should fill in your section of the form before asking the GP to complete their section.
These forms are not paid for by the insurance company and you will therefore be charged a fee for our time.
Employers’ Letters, Certificates and Reports
The DSS Med3 form (or ‘sicknote’) can only be issued to patients who have been off work for more than six consecutive working days due to their own illness, and who have been seen by us during this illness.
Employers may sometimes request certificates for absences which do not fall within these strict rules. In these circumstances we may be able to provide a private certificate, but you will have to pay a fee – some employers reimburse this cost, so do ask them. Please print this to give to your employers advising them of this situation.
Employers may also write to us, with your written consent, for a medical report (in much the same way as insurance companies). In this situation the employer would usually pay the fee.
Letters for Schools, etc
All letters to schools, colleges, universities and exam boards are private and attract a fee. This is not something that we would do routinely and would be in agreement with the GP if appropriate. These would not be carried out urgently as they are not a core NHS service.
Letters to the Housing Department
It is increasingly common for the Housing Department to request a letter from a doctor as a means of verifying claims of special housing need. We prefer not to get involved in housing issues, but may be willing to provide a letter in certain circumstances. Ideally the Housing Department should write to us, enclosing the patient’s consent, and agreeing to pay our fee. Alternatively the patient can request a letter directly from us, but in this situation the fee is payable by the patient.
Medical Examinations
Medical examinations are sometimes requested by insurance companies, employers, and potential employers, or they may be required in order to hold a particular driving licence, or to take part in certain sports. Employment and insurance medicals are usually paid for by the company, but most other medicals are paid for by the patient.
Because of the time it takes to do a full medical examination the fees are considerably more than our other private services. In addition there may be fees for blood tests, X-rays and ECGs.
We do not offer an occupational health service, this is the responsibility of your employers.
We will not say that you are fit to carry out recreational activities. We will only provide a statement of fact advising on any medical conditions you may have.
Copies of Medical Records or Reports
You are entitled to see copies of your medical records. In many cases such requests are made by a solicitor acting on your behalf and representing you in a legal dispute. Requests should be made in writing, enclosing your written consent if someone is acting on your behalf. Charges may be levied but this will be in discussion with you.
You can have access to your electronic records and then you will be responsible for whom you give them to.
Passport Forms
Due to a new requirement for the countersignatory to provide their passport number on your passport application forms, we have decided we are no longer willing to provide this service.
Please note that whoever countersigns your passport form has to have known you for at least two years.
Healthcare for Non-UK Residents
People who normally reside outside the UK are not entitled to NHS treatment, unless they have an emergency need for medical care. This rule applies regardless of their nationality, or which passport they hold.
If you are referred for further treatment from secondary care services, you will be liable to pay for this. We do not write letters to confirm residency status or confirmation of addresses. We are sorry if this is not helpful but we cannot possibly know where someone lives only that the address they use is valid on the date of registration.
Firearms
Police no longer accept any SGC/FAC application unless it is accompanied by a completed standardised proforma which the GP will need to complete. Therefore the applicant will now be asking them to confirm/deny the presence of any diagnoses of concern rather than the police. The medical process of firearms applications falls outside of core GMS contractual obligations and therefore attracts a private fee.
Why do GPs sometimes charge fees?
Read our frequently asked questions about non-NHS and private services.
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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