Charges for Non-NHS Services

Non-NHS Service Charge Comments
Private sick note £20
Holiday cancellation form £30
Fitness to travel letter £20
Fitness to participate letter £30
Private health insurance claim form £35
HGV/PSV medical £100 20 mins appt
Taxi cab/minibus medical £70 20 mins appt
Pre-employment medical £85 paid by employer 20 mins appt
Sickness benefit/accident benefit claim form £40
Foster care report Paid by Agency 20 mins appt
Non – NHS consultation with GP £65
Non-NHS home visit with GP £85
Private Prescription £15
Lasting Power of Attorney medical and report £120 single
£150 couple
20 mins appt
Court of Protection medical and report £150
Non-NHS ECG £30
Ofsted child minding health report £20
Adoption medical £90 single
£140 couple
20 mins appt
Travel Vaccines To be paid for in advance
Yellow fever £60
Hepatitis B £34 per injection (x3 or 4)
Rabies £50 per injection (x3)
Japanese B £90 per injection (x2)
Tick Bourne £50
ACWY (meningitis for Haj etc) £50
Vaccination certificate £20

Fees (cash or debit/credit card) to be payable in advance or on completion of the service as agreed. As vaccines are ordered in specially we respectfully request that the fee for these is paid in advance. You will be provided with a receipt.


The NHS provides most health care free of charge but as GPs are generally independent contractors and not employed directly by the government they charge for certain services not covered by their NHS contract. These fees help cover staff costs and the costs of maintaining the building.

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

  • Insurance reports for accident of sickness,
  • fitness to fly or take part in activities,
  • pre-employment medicals, HGV medicals,
  • private prescriptions eg. for malaria

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

  • Life assurance or income protection reports,
  • some reports for the department of work and pensions, and DVLA,
  • reports for local authorities eg. fostering or adoption.

It may seem that GPs are charging just for their signature but it is a condition of staying on the Medical Register that they sign only what they know to be true, which may involve studying the patient’s whole medical record.

If you have any questions about this please contact our Practice Manager on 0118 969 7303.