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| | The National Health Service provides most health care to most people free of charge, but there are exceptions such as prescription charges. The NHS does not employ GPs but has a contract with them to provide NHS general medical services for their patients. Sometimes, however, GPs are asked to provide additional services, which fall outside their contract with the NHS, and in these circumstances, they are entitled to make a reasonable charge for providing them. It is up to the individual practice to decide how much to charge, although the BMA produces lists of suggested fees for the Doctors to use as a guideline.
When a doctor signs a certificate or completes a report, the doctor needs to check the patient’s entire medical record to ensure that they are providing accurate information. GPs will not be able to complete forms overnight, so please ensure that you give them reasonable notice. Not all documents need a signature by a doctor. For example, you could ask another person in a position of trust, who may be willing to sign a passport application free of charge. (Teacher, Accountant, etc).
If you have several forms requiring completion, please present them all at once and ask the receptionist if bringing them as a ‘job lot’ can reduce the price. You can also complete the form to the best of your ability in pencil, so the doctor just has to quickly verify your entries against the information held by the practice.
What is covered by the NHS and what is not?
Examples of non-NHS services for which GPs can charge their NHS patients are:
- Signing passport application forms
- Certain travel vaccinations
- Private medical insurance reports
- Holiday cancellation claim forms
- Referral for private care forms
- Letters requested by, or on behalf of, the patient
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 company employees
The table below lists the costs for these items. Unfortunately, due to a recent change in legislation, we are required to charge VAT which has increased the cost of some items.
|
CERTIFICATE/FORM/
EXAMINATION |
FEE: |
|
Private sick note |
£10.00 |
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BUPA etc claim |
£21.00 |
|
Fit to travel |
£29.00 |
|
Holiday cancellation certificate |
£29.00 |
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School fee insurance claim |
£29.00 |
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Passport verification |
£22.00 |
|
International certificate of vaccination |
£22.00 |
|
Private prescription |
£5 |
|
Medical report re accident/sickness
No exam |
£71-£106 depending on complexity |
|
Medical report re accident/sickness
With exam |
£160.00 |
|
Pre-university or school medical |
£57.00 |
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Residential home medical |
£49.00 |
|
Form for application to St Monica's |
£21.00 |
|
Pre-employment medical |
£71-106.00 (without medical)
£106.00 (with medical) |
|
Blue Badge Scheme Form |
£22.00 |
|
Elderly Driver fitness – from records only |
£29.00 |
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Elderly Driver fitness – medical and report |
£70.00 |
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HGV/PSV licence medical |
£70.00 |
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Diving medical |
£71.00 |
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Photostating
|
£50.00
£6.50 if <10 sheets;
£12.00 if 10-20 sheets
£24 if > 20 sheets, plus: 35p per side |
|
Power of attorney and exam and certificate |
£52-72.00
depending on whether visit etc is necessary |
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Medical Exam – Not our patient |
£128.00 if our pt £71.00 |
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General Practitioner’s Report (PMA) |
£79.20 |
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Solicitors reports |
Up to 2 hours £63.36
Daily Maximum £253.20 |
VACCINATION FEES
|
VACCINATION |
COST |
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Hepatitis B |
£26.00 per dose ( 3 necessary) |
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Hepatitis A |
£42.00 for 2nd dose |
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Rabies |
£40.00 per dose (2 or 3 necessary) plus cost of private prescription |
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Japanese B encephalitis |
£40.00 per dose (2 or 3 necessary) plus cost of private prescription |
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Meningitis A & C |
£40.00 |
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Yellow Fever |
£43.00 |
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