Welcome to Burdwood Surgery
Non NHS Private Fees
We have to make a charge for some items that do not form part of NHS practice. Please contact the practice for information on medical examinations which are not covered by the NHS.
Why do GPs 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, 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.
Can you give examples of non-NHS services for which GPs can charge their NHS patients:
- accident/sickness insurance certificates
- certain travel vaccinations
- private medical insurance reports
Can you give examples of non-NHS services for which GPs can charge other institutions:
- medical reports for an insurance company
- some reports for the DSS/Benefits Agency
- examinations of local authority employees
- DS 1500 Form (Disability Living/Attendance Allowance)
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.
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.
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. You should expect the form(s) to take up to 4 weeks for the GP to complete and return
Some things we do for patients do not form part of NHS practice and therefore we have to charge for these items. Please see the following list of our non-NHS private fees.
|Medical Examinations and Reports Medical information request||Fee £70.00|
|Medical Examinations and Reports Application for firearms/shot gun licence||Fee £79.00|
|Medical Examinations and Reports OFSTED Report/Childminder||Fee £70.00|
|Medical Examinations and Reports Full Examination and Report||Fee £120.00|
|Medical Examinations and Reports Holiday Cancellation Report & Examination||Fee £120.00|
|Medical Examinations and Reports Pre-employment Report||Fee £100.00|
|Medical Examinations and Reports Pre-employment Medical||Fee £125.00|
|Medical Examinations and Reports Pre-employment Medical & Report/follow up||Fee £200.00|
Medical Examinations and Reports
Fee for Legal Request
(copying of medical notes)
|Medical Examinations and Reports Diagnostic Blood Test||Fee £35.00|
|Medical Examinations and Reports Paternity Blood Test/DNA||Fee £40.00|
Medical Examinations and Reports
Fitness to Attend
e.g. Job, Court
|Medical Examinations and Reports HIV Test - by insurer||Fee £30.00|
Medical Examinations and Reports
|Medical Examinations and Reports School Fees Insurance Claim Forms||Fee £30.00|
|Medical Examinations and Reports Private Flu Vaccine||Fee £20.00|
|Medical Examinations and Reports Information Request Letter||Fee £35.00|
|Certificates Private Sick Note||Fee £20.00|
Complicated Sick Note
(requiring notes being checked)
|Certificates Holiday Insurance Cancellation Form||Fee £40.00|
|Certificates Private Insurance Claim Forms||Fee £40.00|
Fitness to Travel
(letter no examination)
|Certificates Driving Licence Form/Photo||Fee £35.00|
|Certificates Health Club - Patient Fit to Exercise||Fee £25.00|
|Certificates BUPA forms, GP signature||Fee £35.00|
|Certificates Private Prescription||Fee £20.00|
|Certificates Slimming Club / Lighter Life||
Initial Consultation - £35.00
Review Consultation - £15.00
|Certificates For every 10 minute appointment (or part of) with GP or Nurse||Fee £40.00|
Private short letter
(under 5 minutes)
For a full list of our fees, please contact the practice.
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