Services you may need to pay for

Non-NHS Services – Please Read Before Making a Request

The NHS exists to provide free healthcare for your medical needs. Requests that are not related to NHS treatment take time away from patient care and are not part of our core service. For this reason, we strongly advise that you only request these services if absolutely essential.

Examples of non-NHS work include:

  • Medical reports or certificates for non-clinical purposes
  • Supporting letters for housing and benefits
  • Completing or signing forms unrelated to NHS care
  • Documentation for privately funded treatment
  • Occupational health checks

Please be aware:

  • Our priority is NHS care for patients who need medical treatment. Non-NHS work is always secondary and may be delayed or declined.
  • These services are provided at our discretion and only when resources allow.
  • If we decline your request, we do not have the capacity to engage in repeated correspondence about the decision.
  • Charges apply for all non-NHS work, and payment must be made before any documents are released.
  • A price guide is shown below, but please confirm the cost with us before we begin.

Wherever possible, please use the official channels of the organisation requesting the information, as they often have their own processes. This helps us keep our focus on what matters most—providing timely NHS care.

Certificates, forms, letters and reports

Straightforward certificates of fact, or letters of fact £30
Private sick note (incapacity certificate) required by the patient for presentation to an employer. Excludes sick notes which the doctor is obliged to provide for statutory sick pay purposes£40
Accident or sickness insurance: short certificates of incapacity without examination for the patient to claim under accident or sickness insurance £40
Freedom from infection certificate (only for repatriation of deceased) £40
Validation of private medical insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form £45
Health club brief written report £45
School fees and holiday insurance certificates£45
Gym membership cancelation letter £40
Firearm license / shotgun license form (no medical examination required)  £120
Private prescription for medication related to travel (at clinician’s discretion). Per item£20
Digital copy of records requested by patient / solicitor – no charge
Printed copy of records requested by patient / solicitor – charged at 10p per page

Report on a pro forma, no examination (£30 per 15 minutes) – patient will be advised on likely charge once GP has seen form – usually between £30 and £120
Written report without examination, providing a detailed opinion and statement on the condition of the patient (£30 per 15 minutes. Minimum 30 minutes).  Patient will be advised on likely charge once GP has seen form – usually between £60 and £200
 
Examples of forms include: 
– accident or sickness insurance to support a claim for payment of a benefit under an accident or sickness insurance policy 
– employment report pre-employment, or report on an employee, requested by an employer 
– fitness for education to attend university, college, teacher, and nurses training. 
pharmaceutical trials report on the suitability of patients to take part as a non-patient volunteer 
– private medical insurance: report on the prospective subscriber to private medical insurance (PMI) scheme (e.g. BUPA, PPP, WPA, etc.). 
Lasting Power of Attorney / Capacity Assessment: we do not provide these services n/a
DVLA medical exam and report (taxi or lorry)£120
Effective from 1 January 2025