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Acorn & Gaumont House Surgery 153 Peckham High Street, Peckham, London, SE15 5SL     Tel: 020 7138 7888     Fax: 020 7138 7851

  Insurance reports & medical examinations


These are not part of our NHS work and therefore a fee is normally charged in accordance with British Medical Association guidelines.

Non-NHS 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.

Examples of non-NHS services for which GPs can charge their NHS 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:

  • medical reports for an insurance company
  • 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 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.

You can read more here about BMA suggested fees .

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. You can see a guide to the fees charged at the bottom of this page.

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: urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.

Type

Who pays?

How much?

Child

Completion of Childminder Health Form

Patient/Employer

£87.50

Fitness to Work Examination – Child

Parent

£38.00

If 2nd Examination within 12 months

Parent

£23.00

Driving

New driving license form and photograph

Due to recent changes GPs can no longer complete these forms

Taxi Driver Fitness Exam and Report

Patient

£120.00

PCV/HGV Fitness Exam and Report

Patient

£175.00

Seat Belt Exemption

Patient

£25

Employment

Full Medical and Report (for a private company)

Patient/Employer

£175.00

Report only – no examination (for a private company)

Patient/Employer

£80.00

 

 

 

Infection

Freedom from Infection Certficiate

Patient

£16

Insurance

Medical Sickness Report

Patient

£80

Holiday Cancellation

Patient

£50

Sports

Fitness exam/Certificate for a regulatory body

Patient

£80.00

Fitness statement only

Patient

£50.00

Supporting Letters

Standard Letter (i.e. housing support, gym membership)

Patient

£50

We do not provide housing support letter

 

 

Travel

Passport

Due to recent changes GPs can no longer complete these forms

International Certificate of Vaccination

Patient

£16

Fitness to Travel Certificate/Examination

Patient

£50

Holiday Cancellation – Certificate only

Patient

£50

Miscellaneous

OFSTED Report

Patient

£88

 

Contact Details

153 Peckham High Street, Peckham,
London,
SE15 5SL

Telephone: 020 7138 7888
Fax:            020 7138 7851

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