Non-NHS Services




It is not possible to provide all services under the National Health Service.  Other Non-NHS services may incur charges. Please ask at reception for details.

If you have any concerns about the fee involved, please discuss this with your doctor prior to requesting the service.

The table below lists the Charges that this practice applies. Unfortunately, in order to be fair to all patients, there are no exceptions to the charges.

For more complex reports or requests please ask at reception.

See our current Non NHS Fees price list. The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.

Non NHS Fees Price List

Certificates Price
Private Referral / Straightforward statement of fact / to whom it may concern letter £21.00
Private Sick Note £60.00
Firearms Licensing £60.00
Holiday Cancellation Certificates £60.00
Insurance claims forms (no examination) £60.00
Freedom from infection certificate for school travel or employment £60.00
Health Club certificate - fit to exercise £60.00
Fitness to Travel/Fly certificate (no examination)
  • Please note: GP cannot guarantee someone's future good health - fitness to travel can change and all travellers should ensure they have comprehensive travel insurance, especially when pregnant
School fees and holiday insurance certificate £60.00
Report written on a proforma (no examination) 30 mins
Written report giving statement on patient's condition and medical opinion (no examination) 30 mins
  • This could include accident or sickness insurance, pre-employment report or employment report requested by employer, fitness for education to attend uni, college, vocational training and dentist registration for GDC, pharma trials report on suitability of patient to participate, private medical insurance report on a prospective subscriber e.g. BUPA, PPP etc
Employers report £180.00
Private Medical Assessment Report £90.00
Power of Attorney (report only) £60.00
Power of Attorney examination and report £100.00
Medical Examinations  
Adoption / Fostering Medical £120.00
Pre-Employment Medical with report £180.00
HGV / LGV / PV / Taxi Driver Medical and examination
  • Patient must bring the form from the opticians with the eye test result before the examination
Please ask at reception regarding charges in relation to any private work not listed above
  • Non-NHS work is charged at £180.00 per hour
  • GP's are not obliged to complete applications relating to firearms and this will be solely at the discretion of each GP
  • When your 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, they may have to check your entire medical record (some of which may not be accessible on a computer or on site)
  • 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 incur an additional charge.

With effect from 1st November 2019 Hulme Hall Medical Group will be requesting that patients are to pay for all non NHS work upfront. No non NHS work will be done without this payment being made in advance

Please be aware that we may not be able to respond to communication in the usual timeframe due to the ongoing efforts responding to the pandemic, including the roll out of the vaccination programme. We are also mindful of avoiding backlogs of letters where possible. We will not, however, follow up with a response for six weeks (rather than after 28 days when we would normally follow up) and will do so at that point so that we can continue to manage the expectation of the patients and their represenatives.


FAQs Regarding Private And Professional Fees For Non-NHS Work

Below are a collection of Frequently Asked Questions (FAQs) regarding non-NHS work fees; followed by a table setting out the charges our GPs make for various services that fall into this category.

The information can be verified on the BMA website and, as with all information on our website, it is best to check with us to make sure that the prices given are current and correct.


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, providing copies of health records or producing medical reports for insurance companies.


Surely the doctor is 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, etc - in the same way as any small business. 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 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, 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. Surgeries often have lists of fees on the waiting room wall 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.

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.