Private Fees

Why do GPs Sometimes Charge Fees?

The National Health Service provides most healthcare to most people free of charge, but there are exceptions: prescriptioncharges have existed since 1951 and there are a number of other services forwhich 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 notcovered by the NHS, for example, providing copies of health records orproducing medical reports for insurance companies.

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. The NHS coversthese costs for NHS work, but for non-NHS work, the fees charged by GPscontribute towards their costs.

private fees

The Government’s contract with GPs covers medical services to NHSpatients, including the provision of ongoing medical treatment. In recentyears, however, more and more organisations have been involvingdoctors in a whole range of non-medical work. Sometimes the only reason thatGPs are asked is because they are in a position of trust in the community, orbecause an insurance company or employer wants to ensure that informationprovided to them is true and accurate.


Examples of non-NHS servicesfor which GPs can charge their own NHS patients are:

  • Accident/sickness insurance certificates
  • Some Travel Vaccination
  • Private medical insurance reports

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

  • Medical report for an insurance company
  • Report for the DSS/Benefits Agency
  • Examination of local authority employee

BMA suggest fees for non-NHS work which is not covered under GP’s NHScontract, to help GPs set their own professional fees. However, the fees are guidelinesonly, not recommendations, and a doctor is not obliged to charge the ratessuggested. The BMA recommends that GPs tell patients in advance if they will becharged, and how much. It is up the individual doctor to decide how much tocharge. Surgeries should have lists of fees available for patients.

Please note:

  • 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.
  • For Passport and naturalization applications a GP has to have known the patient or in the case of child the parents for a certain period of time. The GP has the right to refuse if he/she has not known the patient for the defined period of time or if he/she feels they would not be able to recognize the child from the photograph.
  • Do not expect your GP to process forms overnight: urgent requests may mean that a doctor has to make special arrangement to process the form quickly, and this will cost more. Please be aware that some reports may take more time, as the doctor might have to check the patient’s entire medical records. Carelessness or an inaccurate report can have serious consequences for the doctor with the General Medical Council (GMC) or even the police. 

The Barkantine practice : Non NHS Fees 

Certificates / Forms / Letters


Insurance Form (short)


Insurance Form (Long)


Fitness to fly/ drive/run


Holiday Cancellation Certificate/claim form


Letter for Airlines/ travel


Short letter for Bank/Building Society, Housing Council/Association, to whom it may concern and etc


 Registration confirmation letter/person


Health Club – Fit to exercise


Private Sick Certificate BMA


Adoption Health Report


Child Minder Health Report


Private Prescription


Pre-employment Medical Exam & Report 


Comprehensive Examination and Report


Medical Exam & Report for HGV/LGV/PSV/Taxi  (excluding eye test)


Medical Exam & Report for Elderly Drivers


Long Medical Report without Exam


Last updated: 07.08.2019