Fees for Non-NHS Services

We often receive requests for a GP to complete a report; form or other letter for patients. These are not included in services provided by the NHS and, as such, we will charge for these.

Below is a list of fees, which may be payable in advance.

These prices are for guidance only and costs may change without notice.

Medical Examination & Reports Fee
Medical report without examination, pro forma £89.50
Medical report without examination, providing a detailed opinion and statement on the condition of the patient £113.00
Medical Report – Taxi/HGV and for elderly drivers £110.00
Child minder health form £91.00
Diabetes fitness certificate As per DVLA
All letters (TWIMC) regardless of number of lines £50.00
Holiday cancellation insurance form £50.00
Insurance forms £104.00
Insurance forms : supplementary reports £27.00
Other report/form requests £50.00


Isn’t the NHS supposed to be free?

The NHS provides most health services to people free of charge, but there are some exceptions. Prescription charges have existed since 1951. Sometimes a charge is made because the service is not covered by the NHS; for example Medical Reports for Insurance Companies.

What is covered by the NHS and what is not?

The Governments contract with GPs covers medical services to NHS patients. Sometimes the only reason that a GP is asked to provide information is because they hold a position of trust in the community, or because an insurance company wants to be sure that the information provided to them is true and correct.

Examples of Non-NHS services which GP’s can charge their NHS patients:

  • Accident/sickness insurance certificates and reports
  • Certain travel/holiday vaccinations
  • Private medical insurance reports
  • Medicals for HGV/Taxi/PSV
  • Elderly Driver Medicals
  • Holiday Cancellation forms
  • Shotgun Certificate Verification
  • Driving Licence Forms

Examples of non-NHS services which GP’s can charge other institutions:

  • Medical reports for an insurance company
  • Some reports for the DSS/Benefits Agency
  • Examinations of local authority/Ofsted Reports

Why does it take so long for my GP to complete a form or report?

Time spent completing forms and preparing reports takes the GP away from the care of our NHS patients. Our GP’s have a heavy workload—paperwork takes up an increasing amount of time.

I only need a doctor’s signature – what is the problem?

When a doctor signs a certificate or report, it is a condition of the Medical Register that they only sign what they know to be true. In order to complete even the simplest of forms, the doctor might have to read patients entire medical record.

For More information about charges visit the British Medical Association Website at: