Non NHS Private Fees


Learn more about private services fees

Private Fees

Access to medical records

Type Fee Responsibility 
Request to view record (inc. to copy 10 sheets or less) Free Patient
Full Medical Record Copy Free Patient

Medical examinations and reports

Type Fee Responsibility 
Private - Full Medical Examination & Report  £215.00 Ins.Co / Private Company / Patient
Further Information from Medical Report  £70.00 Ins.Co / Private Company / Patient
Medical Report only on pro forma - No Examination £100.00 Ins.Co / Private Company / Patient
Medical Report Free Text - No Examination  £200.00 Ins.Co / Private Company / Patient
Private Pro-Forma - Sickness Certificate £40.00 Patient

Adoption / Fostering

Type Fee Responsibility 
Form AH1 - Examination and Report on Prospective Carer £95.00 Local Authority
Form AH2 - Update review from GP Notes - No Examination £30.00 Local Authority
Form IHA - Initial Health Assessment for 'looked after children' £85.00 Local Authority

Blood tests / Private patients

Type Fee Responsibility 
Paternity Test Cost from Lab Patient


Type Fee Responsibility 
Completion of childminder health form (OFSTED) - No Examination £70.00 Patient/ Employer
Completion of childminder health form (OFSTED) - Examination £100.00 Patient/ Employer


Type Fee Responsibility 
Coroners Report Only Free Coroner/ Court
Extract From Records £40.00 Coroner/ Court

Attending an inquest as a professional witness

Type Fee Responsibility 
Attendance Allowance Up to 2 Hours £83.00 Coroner/ Court
2 to 4 Hours £117.00 Coroner/ Court
4 to 6 Hours £174.00 Coroner/ Court
6 or more hours £234.00 Coroner/ Court

If locum cover is arranged in your absence

Type Fee Responsibility 
Up to 2 Hours £89.00 Coroner/ Court
2 to 4 Hours £125.00 Coroner/ Court
4 or more hours £250.00 Coroner/ Court

Travel costs reimbursement

Type Fee Responsibility 
Public Transport (per mile) Actual Fare Paid Coroner/ Court
Car or Motorbike Transport Rate (per mile)  £0.25 Coroner/ Court
Car or Motorbike Standard Rate (per mile)  £0.45 Coroner/ Court
Bicycle Rate £0.20 Coroner/ Court

Overnight allowance

Type Fee Responsibility 
Inner London (within 5 miles of Charing Cross) £100.70 Coroner/ Court
Elsewhere in England and Wales  £69.20 Coroner/ Court


Type Fee Responsibility 
Crem 4 £82.00 Funeral Director 


Type Fee Responsibility 
Taxi Driver Fitness Report - Telephone Consultation & Blood Pressure  £125.00 Patient
HGV Fitness Report - Inc. Examination  £150.00 Patient

Blue Badge Scheme

Type Fee Responsibility 
Blue Badge Report - No Examination £75.00 Patient
Seat Belt Exemption & Report £45.00 Patient
DS 1500 (Terminally ill patients) Free Patient
Criminal Injuries Compensation Authority GP Report on pro forma - No Examination £100.00 CICA
Criminal Injuries Compensation Authority GP Report on pro forma - Examination £150.00 CICA


Type Fee Responsibility 
Housing Report (avoid doing if possible) £30.00 Local Authority


Type Fee Responsibility 
Freedom from Infection Certificate £30.00 Funeral Director

Life insurance and Income protection

Type Fee Responsibility 
Report Only £200.00 Ins.Co
DNA - Appointment for Life Insurance Medical £65.00 Ins.Co
Supplementary Report £70.00 Ins.Co


Type Fee Responsibility 
Solicitors Report £200.00 Ins.Co
Supplementary Report £70.00 Ins.Co
Photocopying of full medical records Free Ins.Co


Type Fee Responsibility 
Fitness Statement only £30.00 Patient


Type Fee Responsibility 
Fitness to Travel Examination £150.00 Patient
Fitness to Travel Letter / Report £90.00 Patient
Medication Required for Travel - Letter £50.00 Patient

Holiday cancellation insurance claim forms

Type Fee Responsibility 
Certificate only £65.00 Patient
Examination and Report £100.00 Ins.Co


Type Fee Responsibility 
Confirmation of Registration £30.00 Patient
DWP PIP £33.50 DWP
Fire Arm Shotgun Licence £90.00 Patient
Power of Attorney (Non Appointment) £70.00 Patient / Solicitor
Power of Attorney (Appointment) £100.00 Patient / Solicitor
Scuba Dive Report £85.00 Patient
General Letter - To whom it May Concern £50.00 Ins.Co / Private Company / Patient
COP3 Mental Capacity Assessment Only £90.00 Ins.Co / Private Company / Patient
COP3 Mental Capacity Assessment and ProForma Report £175.00 Ins.Co / Private Company / Patient
Driving: Full Medical Report for Elderly Licence £90.00 DVLA
Pilots application for licence / fitness to fly, NPPL etc £55.00 Patient
Photocopying (per page) £0.45 Patient

Why do GPs sometimes charge fees?

Isn’t the NHS supposed to be free?

The National Health Service provides most health care to most people free of charge, but there are exceptions: prescription charges have existed since 1951, and there are a number of other services for which fees are charged. Sometimes the charge is made to 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.

Surely the doctor is being paid anyway?

It is important to understand that GPs are not employed by the NHS, they are self-employed, and they have to cover their costs – staff, buildings, heating, lighting, etc – in the same way as any small business. The NHS covers these costs for NHS work, but for non-NHS work the fee has to cover the doctor’s costs.

What is covered by the NHS and what is not?

The Government’s contract with GPs covers medical services to NHS patients. In recent years, 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 be sure that information provided is true and accurate.

Can you give examples of non-NHS services for which GPs can charge their NHS patients:

  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports

Can you give examples of non-NHS services for which GPs can charge other institutions:

  • medical reports for an insurance company
  • some reports for the DSS/Benefits Agency
  • examinations of local authority employees
  • DS 1500 Form (Disability Living/Attendance Allowance)

Is it true that the BMA sets fees for non-NHS work?

The BMA suggests fees for non-NHS work which is not covered under a GP’s NHS contract, to help GPs set their own professional fees. However, these fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested.

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 – the majority work up to 70 hours a week – and paperwork takes up an increasing amount of their time, so many GPs find they have to take some paperwork home at night and weekends.

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 or even the Police.

What will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual doctor to decide how much to charge, but the BMA produces lists of suggested fees which many doctors use. Surgeries often have lists of fees on the waiting room wall based on these suggested fees.

What can I do to help?

  • Not all documents need signature by a doctor, for example passport applications. You can ask another person in a position of trust to sign such documents free of charge.
  • If you have several forms requiring completion, present them all at once and ask your GP if he or she is prepared to complete them all at once as a (job lot) at a reduced price.
  • Do not expect your GP to process forms overnight. You should expect the form(s) to take up to 4 weeks for the GP to complete and return

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