As this is a non-NHS service, requests may take us longer than usual to process. Please allow plenty of time if you need this work completed for a specific reason.

The NHS does not cover all services provided at the surgery. As such, a fee may be payable for non-NHS services.

What is non-NHS work and why is there a fee?

The NHS provides most healthcare 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 because the service is not covered by the NHS, for example travel forms, letters or producing medical reports for insurance companies, solicitors or employers.

The Government’s contract with GPs cover medical services to NHS patients but not non-NHS work. it is important to understand that GP surgeries are often not employed by the NHS; they are self-employed and they have to cover their costs – staff, buildings, heating, lighting, in the same way as any small business.

In recent years, however, 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 is true and accurate.

Examples of non-NHS services for which GPs can charge their own NHS patients are:

• Accident / sickness certificates for insurance purposes
• School fee and holiday insurance certificates
• Reports for health clubs to certify that patients are fit to exercise
• Firearms certificates

Examples of non-NHS services for which GPs can charge other institutions are:

• Life assurance and income protection reports for insurance companies
• Reports for DWP in connection with disability living allowance and attendance allowance

Please contact the practice for additional services or fees.