Non-NHS services

What is non-NHS work and why is there a fee?

The NHS provides most health care to most people free of charge, but there are exceptions for which fees can be charged. There are charges for examinations, reports and claim forms which are not covered by the NHS.

The government’s contract with GPs covers medical services to NHS patients but not non-NHS work. It is important to understand that many GPs are not employed by the NHS; they are self-employed and they have to cover their costs – staff, buildings, heating, lighting – in the same way as any small business.

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 fees charged are based on the British Medical Association suggested scales and our patient services staff at reception will be happy to advise you about them along with appointment availability.

There is a turnaround time of 10 working days for this work. If you require anything more urgently this will incur an additional fee of £30.

Examples of non-NHS services for which GPs can charge their own NHS patients:

  • Accident / sickness certificates insurance claim forms
  • Medicals for pre-employment or driving requirements (HGV, PSV, etc.)
  • Holiday cancellation forms
  • Vaccination certificates
  • Ofsted reports.

Examples non-NHS services for which GPs can charge other institutions:

  • Life assurance and income protection reports for insurance reports
  • Medical reports for local authorities in connection with adoption and fostering
  • Reports for the Department of Work and pensions (DWP) in connection with disability living allowance and attendance allowance.