Non-NHS Chargeable Services

Statement of Costs 2025

The services detailed below are NOT funded by the NHS and therefore have an associated cost.

Certificates, forms and reports

Armed Forces medical questionnaire	Rate set by Force
Accident or private sickness certificate	£40
Free from infection form/certificate	£40
Vaccination certificate	£40
Health insurance form	£40 – £70**
Insurance report (no examination)	£125
Cancellation of holiday for health reasons evidence	£45 – £70**
Blue Badge (disabled parking)	£30
To Whom It May Concern letters	£35 – £70**
School fees insurance claim	£66.75
Childminder health forms	£100
Seatbelt exemption	£37.50
Extract from records	£75
Written Report (without examination)	£125

Medical examinations

Adoption (Normally payable by the patient)	£120
Drivers or pilots	£125
Fitness to drive (DVLA)	Rate set by DVLA
Insurance examination (including report)	£175
Pre-employment or employment medicals	£112

Miscellaneous

Complex letters requiring extracts from medical records etc.	£106
Firearms (certificate only)	£63
Patient request for referral to private medical organization requiring review of record (outside of scope for patient choice for treatment)	£32 – £75**

** Charge to be agreed, dependent on the complexity of the form or letter.

There are some other non-NHS services that will require payment. If you require a service not detailed above, please enquire at reception.

Services we do not provide include:

Fitness to travel
Sports-related certificates and forms
Extreme sports participation
Sports participation/fitness
Devon Home Choice Forms/housing Support letters
Mental Capacity Assessment for the legal purposes of patients
PIP and Universal Credit supporting letters

Please Note

It is at the doctor’s discretion as to whether they will agree to undertake any non-NHS work. We apologise but sometimes we are unable to process some requests for several reasons, we will inform you as soon as possible if this is the case.

· We do not provide letters to support for housing applications unless we are written to by the housing association or council, together with a letter of consent from the patient.

· We are unable to provide letters of support for the purposes of PIP, ESA or Universal Credit. The DWP and Independent Assessment Services request further evidence formally from your GP if they require it.

· We do not sign passport application forms or act as an identity service.

· We are unable to provide Mental Capacity Assessment for the legal purposes of patients

· We do not to provide fitness to travel letters.

· We do not provide fitness to participate letters.

Request a Non NHS Service

About You

Your Name

First Last

Date of Birth

Todays Date

Your Address

Street Address Address Line 2 City Postcode Country

Contact Details

Your Email Address

Email Address Confirm Email Address

Your Phone Number

Service Requested

Please indicate the type of non-NHS service you are requesting. Be as specific as possible and provide any relevant forms, dates, or reference numbers. This helps us process your request accurately and efficiently.

Type of Non-NHS Service:

File Optional

Max. file size: 128 MB.

Patient Acknowledgement of Non-NHS Service Terms

I acknowledge that this is a non-NHS request and will incur a charge.

I understand that the request can take up to 30 working days from the date of a paid invoice.

I understand that the request may be refused at the discretion of the GP.

Why do I have to pay?

The NHS will provide most health care to people free of charge; however, there are a few exceptions.The NHS will cover the costs for NHS work. Subsequently, any requests not covered by the NHS contract attract a fee.GPs are self-employed and as such must cover the increasing costs of staff, buildings, heat and light etc.

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, increasing numbers of organisations have been involving doctors in a whole range of non-medical work. Sometimes the only reason that GP input is required 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 patients are:- Medicals for pre-employment driving requirements (HGV, PSV etc.)
– Private sick notes
– To Whom it May Concern letters
– Accident/sickness insurance certificates
– Some travel vaccinationsExamples of non-NHS Services for which GPs can charge other institutions are:- Medical reports for insurance agencies
– DVLA reports and medicals
– Examinations of local authority employees
– Foster medicals

How are charges decided?

The British Medical Association (BMA) issue guidelines on suggested fees although each individual practice will set their own charges for each of the services they provide.

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 their patients. Most GPs have a very heavy workload, which can add up to 60 hours a week and paperwork takes up an increasing amount of their time. Non-NHS work must be undertaken outside of NHS contracted time.

I only need the doctor’s signature, what is the problem?

When a GP is required to complete a certificate or a report it is a condition of remaining on the Medical Register that they sign only what they know to be true and accurate from a patient’s medical record.Inaccurate reporting can have serious consequences for the GP from the General Medical Council or even the police.The GP may have to check the patient’s medical record, and this can be very time consuming in addition to their already heavy clinical workload.We aim to provide a 30-day turnaround for this type of work, often longer if an appointment is required. We are aware that there may be occasions when a request is deemed as urgent, and will always try to help if we can, however if not given adequate time, this may not be possible to complete at short notice.