Chorleywood Health Centre

Non-NHS services

Charges to Patients

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 isn’t covered by the NHS, for example, medical reports for insurance companies, claims on private health insurance and other letters and forms which require the doctor to review the patient’s medical records.

It is important to understand that GP’s 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 pays the doctor for specific NHS work, but for non NHS work the fee has to cover the doctor’s costs.

COVID 19 – During the pandemic we are having to prioritise NHS work.  This may mean that you request for Non NHS work may not be possible due to available resources or will take longer.  Please expect any requests to take between 14 and 28 working days.

Guide to fees for non-NHS charges

What is covered by the NHS and what is not?

The government’s contract with GP’s 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 GP’s 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.

Examples of non-nhs services for which GP’s can charge their patients

    • Certain travel vaccinations
    • Private medical insurance reports
    • Holiday cancellation forms
    • Referral for private care forms
    • Letters requested by or on behalf of, the patient
    •  In certain instances fitness to work forms

Examples of non-NHS services for which GP’s can charge other institutions are?

  • Medical reports for an insurance company
  • Some reports for the DSS/Benefits agency
  • Examinations of local authority employees

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/her patients. Most GP’s have a very heavy workload and paperwork is taking up an increasing amount of their time. In addition non-nhs work must be undertaken outside of NHS contracted time.

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. Therefore in order to complete even the simplest of forms, the doctor needs to check the patient’s entire record. Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police.

Updated:  Please note that GP’s are no longer able to countersign Passport Applications.

Please click here to view our Guide to fees for non-NHS charges


Date published: 8th October, 2014
Date last updated: 19th May, 2022