Non NHS Services

Several services we offer are not covered by the NHS contract, and as such attract charges.

The Government’s contract with GP’s covers medical services to NHS patients however in recent years more and more organisations have been involving doctors in a wide range of non-medical work. Sometimes the only reason that GP’s are asked is because they are in a position of trust in the community or because an insurance company, employer or public body wants to ensure that the information provided to them is true and accurate.

Fees List

Private sickness certificate£20.00
Driving licence (at GP discretion)£45.00
Holiday cancellation form£30.00
To whom it may concern/statement of fact letter£30.00
Ofsted report (to become a childminder)£70.00
Private insurance claim£60.00
Power of Attorney forms (at doctors discretion)£60.00
Letters for gym, activities, Fitness to fly£20.00
D4 forms£125.00
Proforma with no examination£90.00
Proforma with examination£135.00
Written detailed report, providing opinion, with no examination£135.00
Written detailed report, providing opinion, with  examination£150.00
Medical examinations (pre-employment,  school/universities entrance)Fee
Proforma with no examination£90.00
Proforma with examination£135.00
Written detailed report, providing opinion, with no examination£135.00
Written detailed report, providing opinion, with examination£150.00
Other document fees on application. Prices subject to change
Other feesWho pays
Adoption & fosteringLocal authority
Insurance reports/Medical examinationInsurance company*
Supplementary insurance reportsInsurance company*
Report to DVLA with examination Fitness to DriveDVLA
Report to DVLA with no examinationDVLA
*some exceptions
  • Please note that this surgery does not complete reports/letters for shotgun/firearm licenses or passports.


The following Questions and Answers are taken from advice by the British Medical Association (BMA) to help patients understand the fees charged by GP’s.

With certain limited exceptions such as a GP confirming that a patient is not fit for jury service GP’s DO NOT have to carry out non-NHS work. Many GP’s however will always attempt to assist their patients and carry out this work.
Time spent completing forms and preparing reports takes the GP away from the medical care of patients. GP’s have an ever increasing workload of forms which must be prioritised against offering appointments.  Therefore this work needs to be completed outside of clinic time.
When a GP signs a certificate, completes a report or writes a letter it is a condition of remaining on the Medical Register (which allows them to practice as a doctor) that they only sign what they know to be true. In order to complete even the simplest of forms the doctor may have to check a patient’s entire medical record.

Carelessness or inaccuracy can have serious consequences for the doctor with the General Medical Council (the doctor’s regulatory body) or even the Police.
The BMA suggest fees that may be charged in certain circumstances

However these are intended for guidance only. Doctors are not obliged to charge the rates suggested by the BMA and the fee levels will generally reflect the amount of work and time involved.
A deceased person cannot be cremated until the cause of death is definitely known and properly recorded. Before cremation takes place two certificates must be signed, one by the GP and one by another doctor. The completion of these forms is not part of a doctor’s NHS duties and the fees are usually charged to the funeral director who generally passes on the cost to the family.

These fees are agreed with the National Association of Funeral Directors, the National Society of Allied and Independent Funeral Directors and Co-operative Funeral Care.

Death Certificates are a separate form and are completed free of charge.
To allow the practice to plan the GP’s time 6 weeks’ notice is required although many are completed within this time. Where a patient has an urgent request this should be explained to the receptionist who will note the request however it is not always possible for other more clinically urgent work to be delayed.