Our Non-NHS Fees
Why do GPs sometimes charge fees?
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 the NHS does not employ GPs, 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 involved doctors in a range of non-medical work. Sometimes the only reason that GPs are asked is that they are in a position of trust in the community, or because an insurance company or employer wants to be sure that the 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
- Private letters for patients.
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
Travel Vaccination Fees
| Men ACWY | £ 45 |
| Rabies (Single Vaccination) | £100 |
| Rabies (Vaccination Course) | £300 |
| Yellow Fever (NOT available to NHS Temporary registered patients) | £ 70 |
| Yellow Fever Certificate (Only available with vaccination or with sight of medical record showing vaccination) | £ 15 |
| Hepatitis B (Single Vaccination) | £ 30 |
| Hepatitis B (Vaccination Course) | £ 90 |
| Japanese Encephalitis (Vaccination Course) | £200 |
| Tick-Borne Encephalitis (Single Vaccination) | £ 60 |
| Tick-Borne Encephalitis (Vaccination Course) | £180 |
| Chickenpox (Single Vaccination) | £ 60 |
| Vaccination Certificates | £ 10 + VAT |
Most vaccinations need to be pre-ordered - ensure you allow sufficient time between Travel Appointment and date of Travel to receive appropriate vaccinations. An appointment with our Travel Nurse in a routine appointment is required, allowing an opportunity to discuss travel destinations, travel safety and potential side-effects to vaccinations.
A list of our private (Non-NHS) fees is available below.
These are either exempt from VAT or include VAT. Fees last reviewed 1st October 2024
| Private Medicals / Medical Examinations | £180.00 |
| Pre-Employment / Sports Medical | £180.00 |
| Assistance with Housing Letters | £ 70.00 |
| Private Home Visit | £145.00 |
| Adoption & Fostering Medicals | £300.00 |
| Fostering / Adoption / Child Minders Reports | £150.00 |
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Holiday Cancellation Form |
£ 70.00 / £100.00 |
| Pro-forma report / GP report / detailed written report (with no examination) | £150.00/£180.00 |
| Fire Arms Licence | £150.00 |
| Bupa/Vitality Insurance Report | £100.00 |
| Private Sick Note | £ 50.00 |
| TWIMC Letter | £ 60.00 |
| TWIMC Letter - before 28 days | £ 80.00 |
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(please note: we recommend patients download the NHS App - this provides immediate access to their own records/ results) |
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