Below are a collection of Frequently Asked Questions (FAQs) regarding non-NHS work fees; you will also see a table showing the charges our GPs make for services that fall into this category.
The information provided can be verified on the BMA website and it is best to check with Hereford Medical Group to make sure that the prices given are current and correct.
Isn’t the NHS free?
The National Health Service provides most health care to most people free of charge, however, there are some exceptions.
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 producing medical reports for insurance companies.
Isn’t the Doctor being paid anyway?
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 in the same way as any small business would. The NHS covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs.
What is covered by the NHS and what is not?
The Government's contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. 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. Examples of non-NHS services for which GPs can charge their own NHS patients are:
- accident/sickness certificates for insurance purposes.
- reports for health clubs to certify that patients are fit to exercise.
- pre-employment medicals, as requested by employers.
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.
Do GPs have to do non-NHS work for their patients?
With certain 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, for example for insurance purposes, they are not required to do such non-NHS work.
Is it true that the BMA sets fees for non-NHS work?
The BMA suggests 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 the BMA 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, 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 (the doctors' regulatory body) or even the Police.
What will I be charged?
The BMA recommends 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, but the BMA produces lists of suggested fees which many doctors use.
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.
- 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 will cost more.
Please note all laboratory tests (blood test, urine testting...) will incur an extra fee if performed by the Practice and all payments need to be made prior to appointment
- Private certificate - signature only – unless listed below £15.00
- Private certificate – complex e.g. suitable for exercise £25.00
- Private insurance certificate e.g to cover sickness £40.00
- Accident/sickness of incapacity – for insurance claim £40.00
- Holiday cancellation certificate £30.00
- ‘To whom it may concern’ letters (short) £20.00
- CICA criminal injuries form N/A
- Counter signature (Driving licence) £20.00
- Counter signature (Passport - adult) £30.00
- Counter signature (Passport - Child) £20.00
All private blood tests - please contact the Nuffield Hospital
- Private ECG £60.00
- Private pre admission swabs £30.00
Travel and private vaccinations
- Japanese encephalitis (course of 2) £200.00
- Japanese encephalitis (1 injection only) £115.00
- Tick Bourne encephalitis per injection £65.00
- Rabies (1 vaccine) £70.00
- Rabies course of 3 £195.00
- Hepatitis B (one injection) £45.00
- Hepatitis B course of 3 £125.00
- Holiday vaccination certificate N/A if computer records printout only
- Yellow fever (certificate only) £18.00
- Fitness to travel certificate – inc. fitness to fly while pregnant (without medical) £30.00
- Fitness to travel certificate (with medical exam) £74.00
- Private prescription for travel £15.00
- Hepatitis A (1 injection) £47.00
- Hepatitis A (2 injections) £80.00
- Typhoid £30.00
- Hep A and Typhoid £59.00
- Varicella £58.00
- Immovax £30.00
- Cholera (2 injections) £75.00
- Men ACWY £75.00
- Private flu N/A - via pharmacy if required
- Report – detailed written report with opinion/statement of condition, with examination £150.00
- Report – detailed written report with opinion/statement of condition, without exam. £130.00
- Report – Simple written report with statement of condition, without examination (1 page) £60.00
- Targeted report – detailed - on form (3+ pages) £104.00
- Targeted report – normal – on form (1 or 2 pages) £67.00
- Report for insurance applicants (using template) – e.g. GPR or iGPR £104.00
- Full medicals e.g. for insurance/pre-employment on proforma (+bloods and urine) £100.00
- Driver medicals – including HGV/PSV/Taxi and elderly fit to drive - with medical exam £100.00 - without exam £50.00
- Seat belt exemption £45.00
- Fostering and adoption medicals (30 min appt) £80.00
- Fostering and adoption update reports £50.00
- Medicals for students working abroad £15.00
- Ofsted health declaration form £80.00
- Private consultation per 10mins appt £50.00
Copies of Medical Records
- Computer records only NO CHARGE per GDPR
- Manual paper records only NO CHARGE per GDPR
- DNA testing - per person £40.00
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