Non NHS Services
Non NHS Work
Non-NHS Work Fees
Fees applicable from 03 Nov 2025
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Fee |
VAT at 20% (if applicable) |
Total Cost |
| Access to medical records under Data Protection Act 2018 | No fee * | N/A | No fee * |
| Statement of Fact letters e.g. Fitness to attend school Fitness to Travel |
£35.00 | £7.00 | £42.00 |
|
GP Report for e.g. Holiday cancellation Private healthcare claim Sickness benefit report Private medical certificate |
£43.33 |
£8.67 |
£52.00 |
|
Elderly driver medical |
£80.00 |
£16.00 |
£96.00 |
|
Driving Medical Examination (HGV,Taxi etc) |
£120.00 |
£24.00 |
£144.00 |
|
Comprehensive clinical examination including report, certificate or completion of necessary form (45mins) |
£200.00 |
£40.00 |
£240.00 |
|
Childminder (OfStEd) form |
£91.67 |
£18.33 |
£110.00 |
|
COP3 application form (Lasting Powers of Attorney) completed in practice Supplement to COP3 fee if a home visit required Bicester OX26 1 to OX26 6 postcodes All other practice area postcodes |
£91.67
£55.00 £100.00 |
£18.33
N/A N/A |
£110.00
£55.00 £100.00 |
Other reports – please ask for details of fee. As a guide the cost will be approximately £42 per additional 10 minutes spent preparing a report |
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* An organisation may charge for additional copies. It can only charge a fee if it thinks the request is ‘manifestly unfounded or excessive’. If so, it may ask for a reasonable fee for administrative costs associated with the request. |
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Fee |
VAT at 20% (if applicable) |
Total Cost |
|
Private Nurse Consultation |
£66.00 |
N/A |
£66.00 |
|
Private Doctor Consultation |
£108.00 |
N/A |
£108.00 |
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Travel Vaccinations not available through NHS |
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|
|
Fee |
VAT at 20% (if applicable) |
Total Cost |
|
Yellow Fever vaccination |
£69.17 |
£13.83 |
£83.00 |
|
Yellow Fever vaccination certificate |
£13.33 |
£2.67 |
£16.00 |
|
Rabies vaccination (3 doses) |
£262.50 |
£52.50 |
£315.00 |
|
Hepatitis B (3 doses) |
£63.33 |
12.67 |
£76.00 |
|
Hepatitis B Rapid (4 doses) |
£88.33 |
£17.67 |
£106.00 |
|
Hepatitis B – Child (3 doses) |
49.17 |
9.83 |
£59.00 |
|
Japanese Encaphalitis (2 doses) |
£209.17 |
£41.83 |
£251.00 |
|
Meningitis ACWY |
£58.33 |
£11.67 |
£70.00 |
Non-NHS Work Fees
Some services provided are not covered under our contract with the NHS and therefore attract charges.
PLEASE NOTE – our GP’s will not sign passports, citizenship applications or validate photographs.
Why do GP’s charge fees? Your questions answered
The National Health Service provides most health care to most people free of charge, but there are exceptions.
In some cases, dental fees for example, these are to cover the cost of treatment. In other cases, the charges are because the cost is not covered by the NHS; for example, medical reports for private companies (Life Assurance/Insurance), claims on cancelled holidays, examinations related to an occupation. All of these examples are not related to clinical matters and, as such, are not part of the General Practitioner’s contract with the NHS. As the Government is paying for the GP to be delivering NHS work, it is inappropriate that this contracted time is spent doing work that goes beyond NHS work in this time. It is for this reason that the GP must charge.
What is covered by the NHS and what is not?
The contract between the Government and the GP practice covers medical services to NHS Patients. Regrettably, more and more organisations have been involving doctors in work that goes beyond this service. Oftentimes, GPs are asked because they are deemed as a person of trust in the community, or because an insurance company, or employer, wants to be sure that the information provided is true, or accurate.
Examples of non-NHS services, and services that are therefore chargeable, include:
- Certain travel vaccinations
- Holiday cancellation forms
- Private medical insurance reports
- Private sick certificates
- Letters for Gym membership
- Letters stating unfit for examinations, or sport
Why does it sometimes take my GP a long time to complete my form?
The GP is contracted to provide NHS work in the first instance, and therefore non-NHS work needs to be undertaken outside of this contract time.
GPs roles are not typical 9- 5 jobs. There is a lot more work, behind the scenes beyond just consulting with the patient. There are hospital referrals to write, on behalf of patients, and responses to read from Consultants. There are test results to process, and to action, and medication to review and to prescribe.
In addition, it needs to be remembered that a GP is under a stipulation from the General Medical Council, that anything they sign must be known to be true. As such, a GP cannot simply sign a letter or report, without reviewing the patient’s record, and assuring themselves that the information that they are declaring is supported by documented fact.
Charges
Our private fees are calculated on the time involved in undertaking the average of these types of letters. We do undertake periodic review, and compare our fees with other practices, both local and national to try and be fair with our charges; however our primary service is NHS work and only offer private work, as a convenience to patients.
In most cases, there is no obligation for you to use the services of this surgery for your private work, and other (private) doctors and organisations can be used. It may also be cheaper to do this, as some organisations specialise in providing specific services and at competitive prices (HGV, PCV medicals for example).
How to request a letter or report
Please complete an eConsult form with details of the information you need. There are many standard requests for information where you will not require an appointment to see the GP, as the form or report can often be completed by referring to your medical record.
Because our NHS work is obviously a priority, we ask that you allow up to 21 days for your non-NHS request to be completed. We always try to complete it more quickly than this, but please remember that the doctors have to prioritise NHS clinical work over anything else.
Clinicians do not accept requests for completion of non-NHS work during a consultation. Accepting a private request during a consultation removes the focus on the patient’s clinical needs and can detract from the time and attention needed for other NHS patients, impacting overall service delivery.
See our non-NHS Work Policy for further details
Page created: 21 December 2023
