Non-NHS Work

Why do GP’s Sometimes Charge Fees?

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, 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 most GP’s 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.

Examples Of Non-NHS Services For Which GPs Can Charge Their Patients Are:

  • Accident/sickness insurance certificates
  • Certain travel vaccinations
  • Private medical insurance reports

Examples Of Non-NHS Services For Which GPs Can Charge Other Institutions Are:

  • Some reports for the DSS/Benefits Agency
  • Examinations of local authority employees

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 GPs 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 per 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’s 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 no 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.

  • Photocopy of medical notes (for own use) – No charge
  • Private to whom it may concern letter – £30.00
  • Private consultation (10 Minute Each ) – £30.00
  • Fitness to fly/to travel/to use gym etc – £20.00
  • Firearms certificate – £30.00
  • Carrying medication abroad £20.00
  • Holiday cancellation forms £30.00
  • Council exemption forms £10.00
  • Jury Service - Not fit letter £20.00
  • Power of Attorney Forms From £75.00

Medical Reports for:

  • Private Health forms eg. Bupa £40.00
  • Employment – £60.00
  • Child Minding – £90.00
  • Employer Report/Occupational Health – £30.00
  • Army – £65-£80 Invoice to Army
  • DVLA (Driving Licence Medical Exam) – £110.00
  • HGV, PCV, Taxi – £120.00

Adoption and Fostering:

  • Form IHA (Initial Health Assessment) – £60.00
  • Full medical examination of child – £100.00
  • Child minder (Ofsted Health Declaration Booklet) – £87.50