Non-NHS Work

Requests for letters or signatures by the GP should be directed to the Secretary Team.

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

Sometimes the charge is because the service is not covered by the NHS, for example, providing copies of health records or producing medical reports for insurance companies, solicitors or employers.

The Government’s contract with GPs covers medical services to NHS patients but not non-NHS work. It is important to understand that many 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.

In recent years, however, 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 ensure that information provided to them is true and accurate.

List of chargeable items and prices From April 2023

These fees are for private work carried out by the practice which is not covered by the NHS.

Our secretaries will contact you prior to completion once the GP has confirmed the fee. 

Our preferred payment method is card at Keynsham, cash will be accepted if needed and a receipt can be provided on request.

Vaccines which incur a charge must be paid for at the time of administration.

Letters and forms will need to be paid for on collection. 

Taxi Medical Examination £150 (£105)

PSV/HGV Medical examination £150 (£105)

Sports Fitness Medical Examination £150 (£105

Elderly Drivers Medical Examination £150 (£105)

Fitness to Travel Medical Examination £150

Power of Attorney Capacity Assessment

Either Healthcare or Financial Matters £ 85 (in surgery) £ 100 (at home)

Both Healthcare & Financial Matters £125 (in surgery) £140 (at home)

Blue Badge Application/Renewal/Bus passes £ 30

Council Tax Exemption £ 20

NB For those patients with a recognised severe mental impairment or a diagnosis of dementia there is no charge.

Passport Application countersignature £ 40

Holiday cancellation (claim form completion) £ 40

Fitness to travel (certificate only) £ 40

Yellow Fever (certificate included) £ 60

Hepatitis B (3 doses required) £ 90

(For specific professions only, as recommended - charge quoted is for full course + antibody blood test)

To Whom it may concern Letter £30

Longer letters charged by the hour £200 per hour

Private Health Insurance Claim Form completion £ 40

Other General Form Completion £ 40

Private Sickness Certificate £ 20

Freedom from Infection certificate £ 30

Private Prescription £ 20

Shotgun Certificate countersignature £ 55

Private consultation with GP or Nurse £65 + £15 Private script + Pharmacy fees (payable to Chemist)

All Other Private Medical Examinations £190

Charge for examination only, plus the following charges for any additional requests:

Private ECG reading £55

X Ray examinations £55 per film

Diagnostic blood tests - as per current lab fee

Paternity testing £55


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
  • private prescriptions for travel purposes
Examples of non-NHS services for which GPs can charge other institutions are
  • life assurance and income protection reports for insurance companies
  • reports for the Department for Work and Pensions (DWP) in connection with disability living allowance and attendance allowance
  • medical reports for local authorities in connection with adoption and fostering
  • copies of records for solicitors
Do GPs have to do non-NHS work for their patients?

With certain limited exceptions, for example a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients. Whilst GPs will always attempt to assist their patients with the completion of forms, they are not required to do such non-NHS work.

Is it true that the British Medical Association (BMA) sets fees for non-NHS work?

The BMA suggest fees that GPs may charge their patients for non-NHS work (i.e. work not covered under their contract with the NHS) in order to help GPs set their own professional fees. However, the fees suggested by them are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates they suggest.

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 and paperwork takes up an increasing amount of their time.

I only need the doctor’s signature – what is the problem?

When a GP 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 GP with the General Medical Council (the doctors’ regulatory body) or even the Police.

If you are a new patient we may not have your medical records so the doctor must wait for these before completing the form.

What will I be charged?

It is recommended that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to individual doctors to decide how much they will charge. The surgery has a list of fees based on these suggested fees.

What can I do to help?
  • Not all documents need a 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. Read the information that comes with these types of forms carefully before requesting your GP to complete them.
  • 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 at the same time to speed up the process.
  • Do not expect your GP to process forms overnight: urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this may cost more. Usually non-NHS work will take 2 weeks.