Private Fees (Non NHS work) – Information for patients and third parties

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.

The BMA (British Medical Association) suggest fees for non-NHS work which is not covered under GP’s NHS contract, to help GPs set their own professional fees. However, the fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested. The BMA recommends that GPs tell patients and third parties in advance if they will be charged, and how much. It is up the individual doctor to decide how much to charge.

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.

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 complete this work outside of and in addition to their normal hours.  

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.

A list of our current fees (to be reviewed again in April 2026) is provided below:

All fees must be paid in advance of work being completed and supplied.

We only accept cash, with a receipt provided upon payment.

We reserve the right to suspend, extend processing times for private/Non NHS work at any time due to busy periods.

ServiceWho PaysFee
To whom it may concern letters (short GP letter) to support claims such as: housing, school, college, insurance, COVID recovery letterPatient£30.00
Adoption & FosteringNormally by parent or soemtimes by the agencyVariable
Private Sick Note (Periods within 7 days)Patient£25.00
Firearm/Shotgun Cert
Cost dependant on time to complete
Private PrescriptionPatient£15.00
Letter to take medication abroadPatient£25.00
Fitness to travel, cost dependant on time to completePatient£30.00-£50.00
Fitness to travel with examinationPatient£65.00
Holiday cancellation Cert (excluding examination)Patient£25.50
Holiday cancellation Cert (with examination)Patient£65.00
Ofsted reports Childminding/teachingPatient or employer£85.00
CAMP America formsPatient£30.00
Private medical examinations HGV, PSV, Taxi, Driving Medicals – (Subject to GP availability) *Patients making appointments for HGV/Taxi medicals should bring their form, a urine sample and their glasses if wornPatient£175.00
Private blood tests – Will require Check with lab + GP ApptPatient£TBC
Sickness/accident claim form completionPatient£40.00
DVLA medical over 75’sPatient£60.00
Private medical/insurance form completion ie BUPA/PPP (Price will be based upon workload/information required)Patient£30.00-£60.00


Request for report£104
Report with examination£150
Court of Protection (COP3)/Lasting Power of Attorney (LPA) with home visit£180
All requests must have accompanying consent from patient to release information


Full General Practitioner Report (GPR)
With examination

Additional information request£25
All requests must have accompanying consent from patient to release information

OTHER THIRD PARTY REQUESTS (Work accepted where GP has capacity, this will be advised at the time of application along with timeframe)

Request for report by employer/occ health£104
Cumbria & Lancs CRC (Probation Service)£30
Army/ with full copies of notes (Online access by patient should be requested which is free to the patient and preferable)£115
DVLA Report£40
DVLA Examination£85
0All requests must have accompanying consent from patient to release information
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