Explanation of Non NHS Charges
Do GP’s have to do non-NHS work for their patients?
With certain limited exceptions such as a GP confirming that a patient is not fit for jury service GP’s DO NOT have to carry out non-NHS work. Many GP’s however will always attempt to assist their patients and carry out this work.
Why does it sometimes take my GP a long time to complete my form/letter?
Time spent completing forms and preparing reports takes the GP away from the medical care of patients. GP’s have an ever increasing workload of forms which must be prioritised against offering appointments.
I only need the GP’s signature—what’s the problem?
When a GP signs a certificate, completes a report or writes a letter it is a condition of remaining on the Medical Register (which allows them to practice as a doctor) that they only sign what they know to be true. In order to complete even the simplest of forms the doctor may have to check a patient’s entire medical record. Carelessness or inaccuracy can have serious consequences for the doctor with the General Medical Council (the doctor’s regulatory body) or even the Police.
Who sets the fees and why do different doctors charge different fees?
The BMA suggest fees that may be charged in certain circumstances However these are intended for guidance only. Doctors are not obliged to charge the rates suggested by the BMA and the fee levels will generally reflect the amount of work and time involved.
Why do GP’s charge for the completion of cremation forms?
A deceased person cannot be cremated until the cause of death is definitely known and properly recorded. Before cremation takes place two certificates must be signed, one by the GP and one by another doctor. The completion of these forms is not part of a doctor’s NHS duties and the fees are usually charged to the funeral director who generally passes on the cost to the family. These fees are agreed with the National Association of Funeral Directors, the National Society of Allied and Independent Funeral Directors and Co-operative Funeral Care. Death Certificates are a separate form and are completed free of charge.
What notice is needed for completion of reports and letters?
To allow the practice to plan the GP’s time 4 weeks’ notice is required although many are completed within this time. Where a patient has an urgent request this should be explained to the receptionist who will note the request however it is not always possible for other more clinically urgent work to be delayed.
Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:
- Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
- Insurance claim forms
- Passport signing (Not UK Passport)
- Prescriptions for taking medication abroad
- Private sick notes
- Vaccination certificates
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
Non-urgent advice: We do accept cash
The exact amount to be paid by credit or debit card please (we do not accept American Express cards).