Non NHS Services – Chargeable

Non-urgent advice: Payment of Fees

Please note: All fees must be paid in advance

Services which are outwith the NHS Contract

The National Health Service provides most healthcare to the majority of people free of charge, but there are exceptions. GPs are self-employed and are contracted to provide NHS general medical services for their patients.

Sometimes, GPs are asked to provide additional services which fall outside their contract and in these circumstances, they are entitled to make a reasonable charge for providing them.

Price list of chargeable fes
Common ItemsAmount
Simple Letter signed – with or without statement£25
Private Prescription for registered patients£14
Private Sick Note£18
HGV or Taxi Medical£132
Holiday Cancellation Form£44
Insurance/Medical ReportsAmount
Comprehensive Medical Report with Examination£190
Typical one page proforma without examination
With examination
Written short report (one page)£44
Private PatientsAmount
GP Consultation£70
Nurse Appointment£40
Blood Test (per test)£40
Telephone Consultation£18
Prescription for Private Patients£25
Travel Vaccinations and Private ImmunisationsAmount
Travel Consultation – for Private Patients£25
Meningitis ACWY£40
Rabies (each injection – three needed)£70
Yellow Fever£75
Replacement Yellow Fever Certificate£15
Typhoid & Hep A Combined£100
Hep A£60
Hep B (each injection – three needed)£40
Dip/Tet/Polio (combined)£40
Japanese Encephalitis (each injection – two needed)£130
Tick Borne Encephalitis (each injection – three needed)£80
MMR (each injection – two needed)£50
Varicella (Chickenpox – each injection – two needed)£80
Whooping Cough (not pregnant)£100
Men B (each injection)£130


Other forms/requests based on length of time taken. Price to be agreed before form completed.

The fees charged are based on the British Medical Association (BMA) suggested scales and Practice Reception Staff will be happy to advise you about them along with appointment availability. 

Your questions answered

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.

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 to do non-medical work 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.

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

  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports
  • statements of fact relating to general health e.g. for children’s dance classes
  • Letters requested by, or on behalf of, the patient
  • Holiday cancellation claim forms
  • Referral for private care forms

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

  • medical reports for an insurance company
  • some reports for the DSS/Benefits Agency
  • examinations of occupational health

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 can I do to help?

  • If you have several forms requiring completion, present them all at once.
  • Do not expect your GP to process forms overnight

Examples of Non-NHS Services include the following: 

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.) 
  • Insurance Claim Forms 
  • Prescriptions for taking medication abroad 
  • Private Sick Notes 
  • Vaccination Certificates 

The fees charged are based on the British Medical Association (BMA) suggested scales and Practice Reception Staff will be happy to advise you about them along with appointment availability.