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Shakespeare Surgery
Worsley Mesnes
Health Centre
Poolstock Lane

Tel: 01942 481531
Fax: 01942 481543
Email Us


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The list of non-NHS fees below are correct as of the
1 January 2016

Private Medical Certificate/Sick Note 15

Private Prescription eg., anti-malarials 10

Private Medical Insurance Claim Form 20-35

Typed medical reports from medical records 75

Supplementary Question reports 20

Other Medical Insurance Claim Form
(eg, mortgage protection)

Fitness to attend gym/exercise class/health 30

Fit to travel recorded on private note 20

Fit to travel typed letter 40

Witnessing Passport Applications/
Photocard Driving Licence

Yellow fever vaccination
(including WHO Certificate)

Holiday cancellation form 20-35

PP/WPA/BUPA forms 20-35

P.M.A and Ofsted reports 79.20

All medicals e.g. HGV, Taxi, Pre employment (for Shakespeare Surgery Patients)
For Non-Shakespeare Surgery Patients


Short letters e.g. airline requests 15

Racing Driver, Fit to Drive 140

Elderly Driver/seat Belt Exemption 60

Initial consultation following Road Traffic Accident
can be claimed back from insurance company

DNA paternity testing (Solicitors) 45

Patients medical records 55

Prices for non Shakespeare Surgery Patients
for travel clinic services
Click here
to see list

Why do GPs sometimes charge fees?
Your questions answered

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, 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.

What is covered by the NHS and what is not?

The Government's contract with GPs 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 GPs 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 GPs can charge their NHS patients are:

  • accident/sickness insurance certificates
  • certain travel vaccinations
  • private medical insurance reports

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 local authority employees

Is it true that the BMA sets fees for non-NHS work?

The BMA suggests fees for non-NHS work which is not covered under a GPs NHS contract, to help GPs set their own professional fees. However, these fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested.

You can read more here about BMA suggested fees.

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 will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual doctor to decide how much to 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 signature by a doctor, for example passport applications. You can ask another person in a position of trust to sign such documents free of charge.
  • If you have several forms requiring completion, present them all at once and ask your GP if he or she is prepared to complete them all at once as a 'job lot' at a reduced price.
  • 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.

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