Non NHS Services – Chargeable

Services which are outwith the NHS Contract

The National Health Service provides most healthcare to the majority of people free of charge, but there are exceptions. GPs are self-employed and are contracted to provide NHS general medical services for their patients.

Sometimes, GPs are asked to provide additional services which fall outside their contract and in these circumstances, they are entitled to make a reasonable charge for providing them.

Your questions answered

Your questions answered

Isn’t the NHS supposed to be free?

The National Health Service provides most healthcare to the majority people free of charge, but there are exceptions: 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.

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 to do non-medical work 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 GPs can charge their NHS patients are:

  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports
  • statements of fact relating to general health e.g. for children’s dance classes
  • Letters requested by, or on behalf of, the patient
  • Holiday cancellation claim forms
  • Referral for private care forms

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

  • medical reports for an insurance company
  • some reports for the DSS/Benefits Agency
  • examinations of occupational health

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 can I do to help?

  • If you have several forms requiring completion, present them all at once.
  • Do not expect your GP to process forms overnight

Examples of Non-NHS Services include the following: 

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)  Please note that any eye tests should be carried out by an optician.
  • Insurance Claim Forms 
  • Prescriptions for taking medication abroad 
  • Private Sick Notes 
  • Vaccination Certificates 

Drivers Medical Reporting

We have been advised that we are only able to provide medical reports on your driving where this is requested directly from the Drivers and Vehicle Licensing Authority (DVLA). As such we are unable to provide a supportive letter on your behalf should you be unhappy with the decision on your fitness to drive.

Whilst we sympathise when this affects employment, we are sure you understand that in the interests of safety, we must only complete the recognised forms.


Treatment Provided by the Private Sector

Direct follow up after private treatment is not with your GP practice. This is not an NHS service. Your private treatment provider is responsible for your ongoing review and this should be included in the price they have quoted for your care. However, if you wish us to carry out your private follow up, please contact the practice for advice on our fee prior to making any appointment.  


Our admin staff will be able to advise you further on our fees and timescales for completion.

We ask that you complete all the appropriate details before handing forms in to us to avoid any delays. 

It may not always be possible to complete your request for non-NHS work.Whilst we will do our best to accommodate, this may not always be appropriate, and our priority needs to be our NHS work. Thank you for your understanding.