The BMA and LMCs produce guidance to GPs regarding the participation in non-NHS work, and the suggested fees for some areas such as those from Government Agencies. For other requests GPs have the right to decline this work or make charges. All fees are reviewed annually and are clearly published on the practice website.
Access to Medical Records Fees 2019
| Access to records under Data Protection Act | Who Pays | Charges |
| Computerised records* | Patient | up to £12.00 |
| Manual records or combination of manual/computer records* | Patient /Solicitor | up to £50.00 65p per page |
| Administration Charge for sending by recorded delivery* | Patient /Solicitor | £12.00 |
*There is no charge for access to medical records since the introduction of GDPR in May 2018. However, where requests are considered excessive or have been duplicated - in accordance with the ‘reasonableness’ test - the above charges may apply. |
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Adoption and Fostering Fees 2019
| Adoption and Fostering Fees | Who Pays | Charges |
| Form IHA Initial Health Assessment | **Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by the adoption/fostering agency | £68.00 |
| Forms M, B Obstetric Neonatal reports | * | £68.00 |
| Forms C, D, YP or AME Full examination of child | * | £112.50 |
| Form AH Health assessment, Prospective carer | * | £98.00 |
| Form AH2 Update report, parent/carer | * | £38.00 |
| Childminder (Ofsted health declaration form) | * | £102.00 |
| Examination of children in /for care-first exam | * | £85.00 |
| Subsequent exam | * | £38.00 |
| Freedom from infection for children in care | * | £38.00 |
*Adoption fees normally paid by parent; fostering by NHS, but sometimes paid by the adoption/fostering agency |
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Certificates and Forms Fees 2019
| Certificates and forms | Who Pays | Charges |
| Application For Naturalisation as a British Citizen - form AN from the UK Border Agency | Patient - bring photograph | £26.50 |
| Freedom from infection certificate | Patient | £26.50 |
| Letter re medical fitness (including exercise, travel etc) | Patient | £38.00 |
| Private Fit Note (any fit note within 7 days is private) | Patient | £26.50 |
| Provident Association claim form (e.g. BUPA/PPP) | Patient | £38.00 |
| School fees insurance claim form | Patient | £38.00 |
| Fitness for sport, school, university, etc | Patient | £26.50 |
| PADI Fitness for Diving Medical Statement | Patient | £63.00 |
| Reference | Patient | £38.00 |
| Private prescription | Patient | £26.50 |
Driving Fees 2019
| Driving | Who Pays | Charges |
| Full physical medical examination and report, eg HGV, PSV, some minicab applications | Patient | £112.50 |
| Limited physical examination (eg BP check & Vision check) with report eg London Taxi & Private Hire Medical Declaration | Patient | £88.00 |
| Report no examination (20 to 30 mins) | Patient | £68.00 |
| Extract from records (15 mins) | Patient | £52.50 |
| Seat belt exemption | Patient | £68.00 |
| Elderly driver certificates | Patient | £68.00 |
| Driving licence photograph | Patient | £26.50 |
| PCV/LGV driver | Patient/Employer | £112.50 |
Employment Fees 2019
| Employment - Private | Who Pays | Charges |
| Full medical with report or certificate (private/insurance - 45mins) | Patient/Employer/Insurance | £175.00 |
| Report without examination (private/insurance -30mins) | Patient/Employer/Insurance | £125.00 |
| Report on Pro-forma (20mins) | Patient/Employer/Insurance | £85.00 |
| Extract from records (no examination or opinion -15 min) | Employer | £68.00 |
| Certificate of Incapacity - this can include at the GP's discretion - a To Whom It May Concern letter with brief details of a patient's medical condition | Patient | £38.00 |
Health/Capacity Fees 2019
| Certificates and forms | Who Pays | Charges |
| Assessment of Mental Capacity - Basic Form < 20 mins | £125.00 | |
| Assessment of Mental Capacity - Complex Form > 20 mins | £225.00 | |
| COP3 Report | £85.00 | |
| COP3 Examination | £175.00 | |
| POA Examination and Certificate | £85.00 | |
| Witnessing POA | £43.00 | |
| Coroner’s Report | £70.00 | |
| Criminal Injuries CICA | £42.50 |
Insurance Fees 2019
| Insurance (Sickness) | Who Pays | Charges |
| Examination and report | Insurance Company/Patient | £175.00 |
| Extract from records (15 mins) | Insurance Company/Patient | £68.00 |
| Certificate of Incapacity | Insurance Company/Patient | £38.00 |
| Insurance Claim form completion | Patient | £38.00 |
Insurance Fees 2019
| Insurance (Accident) | Who Pays | Charges |
| Examination and report | Insurance Company/Patient | £175.00 |
| Report without examination. Medical opinion to be included at GP's discretion. | Insurance Company/Patient | £112.50 |
| Report on pro forma (20 mins) | Insurance Company/Patient | £85.00 |
| Extract from records | Insurance Company/Patient | £68.00 |
| Short certificate | Insurance Company/Patient | £26.50 |
Paternity/DNA Fees 2019
| Private Patient Services | Who Pays | Charges |
| For making all necessary arrangements (where the patient has not done themselves) | Patient | £19.00 |
| For making any further enquires on behalf of the patient | Patient | £19.00 |
| For taking 1st sample from first subject | Patient | £19.00 |
| For taking 1st sample each other subjects | Patient | £9.00 |
| For taking more samples from each subject - One sample | Patient | £19.00 |
| For taking more samples from each subject - Two samples | Patient | £28.00 |
| For taking more samples from each subject - Three samples | Patient | £45.00 |
Travel Fees 2019
| Travel Abroad | Who Pays | Charges |
| Pregnant Woman's Medical Certificate Attesting Fitness to Fly noting their good health and indicating the baby's expected date of birth | Patient | £26.50 |
| Fitness to travel certificate - pre-existing illness | Patient | £38.00 |
| Vaccination certificate | Patient | £26.50 |
| Holiday cancellation simple certificate | Insurance Company/Patient | £26.50 |
| Holiday cancellation insurance claim | Insurance Company/Patient | £38.00 |
| Simple letter detailing prescription medicines with Surgery stamp | Patient | £26.50 |