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Non-NHS Services
There are some services we offer which are non NHS services for which you will be charged.
Please note, these services are for registered patients only
- Yellow Fever vaccination
- Holiday cancelation form
- University questionnaire form
- Taxi medical
- HGV medical
- Fostering medical
- Private sick certificate
- DNA swabs
- Paternity testing
- Fitness to travel letter
- Certificate for fitness
Fees for non NHS services
Prices correct as of June 2025
Certificates and short reports
- Private Sick Note: £35.00
- Private Prescription: £20.00
- Private Insurance Claim Form: £54.00
- To Whom it May Concern (Private Letter): £35.00
- Child Minding Forms
- Ofsted Health Declaration (SCC/Local Authority): £122.00
- Other Not Complex: £65.00
- Medical Insurance Certificate (e.g. BUPA, PPA, PPP): £54.00
- Local Authority Taxi: £45.00
- Driver Insurance Form – without medical: £79.00
- Private Fitness Certificate: £30.00
- Fitness to Travel Certificate: £40.00
- Straight Forward Statements of Fact or Letter: £30.00
- BUPA/PPA Claim Forms: £74.00
- Holiday Cancellation or Holiday Insurance Certificate: £40.00
- Basic Sickness/Accident Insurance Benefit Form: £30.00
- DVLA Form: £30.00
- Shotgun and Firearm Applications: £81.00
- Student Disability Allowance: £35.00
- Disability Living Allowance: £40.00
Reports
- Employment, Pre-Employment Report (No examination): £123.00
- Medical Insurance Report or Extract from Medical Records: £79.00
- Medical Assessment Report without Medical Examination: £140.00
- Report - Written No Examination – Depending on Complexity: £50.00 to £200.00
- Supplementary Report – No Examination: £74.00
- Lasting Power of Attorney: £200.00
Medical examinations
- Employment, Pre-Employment Medical and Report: £165.00
- Medical Assessment Report and Medical: £165.00
- Medical and Report (e.g. HGV, and PSV): £100.00
- Driver Insurance Form with Medical: £100.00
- Full Medical and Report (e.g. Insurance, Employment): £148.00
- LGV, PCV, Taxi, Elderly Driver Medicals (30 minutes) and DVLA (D4): £162.00
- Adoption Medicals (30 minutes): £90.00
- Fostering AH Form and Medical: £100.00
- Fostering AH2 Update: £50.00
Travel abroad for registered patients only
- Fitness to travel certificate: £25.00
- Vaccination certificate: £25.00
- Freedom from infection certificate: £15.00
- Yellow fever + certificate: £50.00
Misc for registered patients only
- Paternity - DNA swabs 1 person: £30.00
- Straightforward statements of fact or letter: £30.00
- Shotgun & Firearm applications: £60
- Pre University Questionnaire (usually Nurse completion): £15.00
- Private Patients: Not seen
- Paternity DNA swabs 1 person, please change to DNA test: £90
- Kent Police Health Declaration: £25
General
- Private prescription (does not include price of medication): £20
- Private insurance claim form: £30
- Private letter for to whom it may concern: £30
Employment
- Employment, pre-employment medical and report: £165
- Employment, pre-employment report (no examination): £99
Insurance
- Medical insurance certificate (e.g. BUPA, PAA, PPP): £30
- Medical insurance report or extract from medical records: £55
Medical assessment report
- Medical assessment report and medical: £165
- Medical assessment report without medication examination: £95
Driving
- Medical and report (e.g. elderly, HGV, PSV and taxi): £90
Frequently asked questions
Read our FAQs 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