The NHS provides most health care to most people free of charge, but there are exceptions. Since 1951 Prescription charges have existed and there are a number of other services for which fees are charged.
The charge may 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, claims on private health insurance and other letters and forms which require the doctor to review the patient’s medical records outside of NHS time.
It is important to understand that GP’s are not employed by the NHS, they are self-employed and they have to cover their business costs – staff, heating, lighting etc., in the same way as many small businesses working. The NHS pays the doctor for specific NHS work, but for the non-NHS work, the fee has to cover the doctor’s cost during their own time.
Examples of work that incurs a fee:
Letters from the Doctor
Reports with Examination
Private Sick Notes
Letters for Employers/ Schools
Letters for PIP/ Benefit Appeals
Copies of Paper Medical Records
Statement of Facts
Processing of Non-NHS Work
Every request for non-NHS work in needs to be writing. Once your request is received and paid for it will be passed on to the doctor for completion. If the request has come from a third party, such as an insurance company, we will invoice them directly. We will ask for your written consent, unless there is no legal obligation to do so. We operate a pay-in-advance system and work will not commence until the invoice is paid.
Priority must be given to the immediate care of patients, which offered with the NHS activities. Due the increasing demand on our doctors, please allow at least 4 weeks from time of payment for the work to be completed.
If your request is for a medical exam, you will be contacted directly with an appointment time and date by a member of the support team. This may be completed after surgery hours if the GPs schedule requires.
Please be aware that GPs are no longer able to counter sign Passport Forms following new guidance from the Passport Office below:
The counter signatory must not:
Be related by birth or marriage
Be living at the same address as the applicant/parent of applicant
Additional Update: “In the past it was ok to use your Doctor/GP to countersign your application. Due to high demand and complaints received from medical professionals you are now not able to use your registered doctor as a counter signatory (however if you have a friend or colleague who is a doctor this is still permitted).”