Non-NHS Work

There are certain services which the Practice provides for patients that fall outside the scope of the NHS. The NHS does not pay for these and the doctors make a charge for their time and for the administrative time of the staff.

The fees are determined in accordance with BMA guidelines and in agreement with the Office of Fair Trading. They are the responsibility of the patient and are normally updated on 1st April each year.

Non-NHS Services

A list of charges can be obtained from Reception and includes:

Medical Examinations

  • Pre-employment
  • Elderly driver/taxicab/HGV
  • PCV/LGV driver
  • Extract from records
  • Miscellaneous sports examinations

Travel

  • Holiday cancellation insurance certificate
  • Freedom from infection certificate

Passport

  • Countersignature

Vaccinations

Certificates

  • Any simple private certificate
  • Data Protection record search and report

Here’s a checklist of the vaccines that are routinely offered free of charge to everyone aged 18 and under in the UK and the age at which you should ideally have them.

2 months:

  • Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib, a bacterial infection that can cause severe pneumonia or meningitis in young children) given as a 5-in-1 single jab known as DTaP/IPV/Hib
  • Pneumococcal infection

3 months:

  • 5-in-1, second dose (DTaP/IPV/Hib)
  • Meningitis C

4 months:

  • 5-in-1, third dose (DTaP/IPV/Hib)
  • Pneumococcal infection, second dose
  • Meningitis C, second dose

Between 12 and 13 months:

  • Meningitis C, third dose
  • Hib, fourth dose (Hib/MenC given as a single jab)
  • MMR (measles, mumps and rubella), given as a single jab
  • Pneumococcal infection, third dose

3 years and 4 months, or soon after:

  • MMR second jab
  • Diphtheria, tetanus, pertussis and polio (DtaP/IPV), given as a 4-in-1 pre-school booster

Around 12-13 years:

  • Cervical cancer (HPV) vaccine, which protects against cervical cancer (girls only): three jabs given within six months

Around 13-18 years:

  • Diphtheria, tetanus and polio booster (Td/IPV), given as a single jab

Frequently Asked Questions

To assist patients, the following questions are answered on the British Medical Association website and they may cover your queries:

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, providing copies of health records or producing medical reports for insurance companies.

Surely the doctor is being paid anyway?

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, etc – in the same way as any small business. The NHS covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs.

What is covered by the NHS and what is not?

The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. 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.

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

  • accident/sickness certificates for insurance purposes
  • reports for health clubs to certify that patients are fit to exercise
  • pre-employment medicals, as requested by employers

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

  • life assurance and income protection reports for insurance companies
  • reports for the Department for Work and Pensions (DWP) in connection with disability living allowance and attendance allowance
  • medical reports for local authorities in connection with adoption and fostering

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 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 (the doctors’ regulatory body) or even the Police.

What will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to individual doctors to decide how much they will 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 a signature by a doctor, e.g. passport applications. You can ask another person in a position of trust to sign such documents free of charge.

Do not expect your GP to process forms overnight: urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.