Fees for work conducted by the practice that is Non-NHS work



Section 1:                   Fees List




Access to records under Data Protection act - Subject Access Request


Access to Medical Reports Act request


Adoption - Form IHA (initial health assessment, looked after child)


Adoption - Form M, B (Obstetric Neonatal reports)


Adoption - C D YP, or AME (Full examination of child)


Adoption - AH (Health Assessment, prospective carer)


Adoption - AH2 (Update report parent/ carer)


CICA reports


Completion of Medical History Questionnaire


Concessionary Bus Pass form


Copies of medical records (Maximum of)


Duplicate Sick Notes


Elderly Drivers fitness certificate


Fitness to attend university/ sports/ gym - letter


Fitness to attend university/ sports/ gym - full medical


Fitness to attend university/ sports/ gym - extracts from records


Fitness to travel/ fly or note of medical condition to travel agent


Fostering Exam and report


Holiday Cancellation form - Simple


Holiday Cancellation form - complex


Immunisation History Report


Medical examination - employment (inc report)


Medical Examination - hackney/taxi licence/ DVLA requested examination


Medical examination for HGV licence


Medical Questionnaire (eg for work)


Medical Questionnaire - DVLA (per section - paid for by the DVLA)


Medical report (no exam)


OFSTED Report for childminders


Other certifications/ licences (eg shotgun, diving)


Other Medical examination


Passport Photo Verification


Power of Attorney


Private Consultation


Private Insurance form - Organisational request (Eg life insurance)


Private Insurance form - Organisational request for further information


Private Health form - patient request (Eg Mortgage)


Private/ provident association claim forms


Private Letter (range)


Seatbelt exemption form


View Medical Records by request/ FOI (Freedom of Information & Data Protection Act)


Witness statements



Section 2:                   FAQs regarding why GPs have to charge for some services, provided by the British Medical Association (BMA)



1.    Surely the doctor is being paid anyway?

  • It is important to understand that many GPs are not employed by the NHS.
  • 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 fees charged by GPs contribute towards their costs.



2.    What is covered by the NHS and what is not?


  • The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment.
  • In recent years, however, more and more organisations have been involving doctors in a whole range of non-medical work.
  • Sometimes the only reason that GPs are asked is because they are in a position of trust in the community, or because an insurance company or employer wants to ensure that information provided to them is true and accurate.



3.    Examples of non-NHS services for which GPs can charge their own NHS patients:


  • accident or sickness certificates for insurance purposes
  • fitness to attend school or university and holiday insurance certificates
  • reports for health clubs to certify that patients are fit to exercise



4.    Examples of non-NHS services for which GPs can charge other institutions:


  • life assurance and income protection reports for insurance companies
  • reports for the Department for Work and Pensions (DWP) in connection with disability living allowance and attendance allowance
  • medical reports for local authorities in connection with adoption and fostering



5.    Do GPs have to do non-NHS work for their patients?


  • With certain limited exceptions, for example a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients.
  • Whilst GPs will always attempt to assist their patients, they are not required to do such non-NHS work.



6.    Is it true that the BMA sets fees for non-NHS work?


  • We suggest fees that GPs may charge their patients for non-NHS work (ie work not covered under their contract with the NHS) in order to help GPs set their own professional fees.
  • However, the fees suggested by us are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates we suggest.


7.    Can a fee be charged by a GP for the completion of cremation forms?


  • It is important to differentiate between death certificates (which must be completed free of charge) and cremation forms.
  • Cremation forms, unlike death certificates, require doctors to make certain investigations which do not form part of their NHS duties.
  • A deceased person cannot be cremated until the cause of death is definitely known and properly recorded. Before cremation can take place two certificates need to be signed, one by the GP and one by another doctor.
  • Cremation form 4 must be, as stated, completed by the registered medical practitioner who attended the deceased during their last illness.
  • Form 5 must be completed by a registered medical practitioner who is neither a partner nor a relative of the doctor who completed form.
  • A fee can be charged for the completion of both forms 4 and 5 as this does not form part of a doctor's NHS duties.
  • Doctors normally charge these fees to the funeral director, who, generally passes on the cost to the family. Doctors are also entitled to charge a mileage allowance, where appropriate.
  • The fees for cremation forms 4 and 5 (which are agreed with the National Association of Funeral Directors, NAFD, the National Society of Allied and Independent Funeral Directors, SAIF, and Co-operative Funeralcare) are available on our website.



8.    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 his or her patients.
  • Most GPs have a very heavy workload and paperwork takes up an increasing amount of their time, so many GPs find they have to take some paperwork home at night and weekends.



9.    I only need the doctor's signature - what is the problem?


  • When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true.
  • In order to complete even the simplest of forms, therefore, the doctor might have to check the patient's entire medical record. Carelessness or an inaccurate report can have serious consequences for the doctor with the General Medical Council (the doctors' regulatory body) or even the Police.



10.  What will I be charged?


  • We recommend that GPs tell patients in advance if they will be charged, and what the fee will be.
  • It is up to individual doctors to decide how much they will charge, but we produce lists of suggested fees which many doctors use. Surgeries often have lists of fees on the waiting room wall based on these suggested fees.



11.  What can I do to help?


  • Not all documents need a signature by a doctor, for example passport applications. You can ask another person in a position of trust to sign such documents free of charge.
  • If you have several forms requiring completion, present them all at once and ask your GP if he or she is prepared to complete them at the same time to speed up the process.
  • Do not expect your GP to process forms overnight. Urgent requests may mean that a doctor has to make special arrangements to process the form quickly, and this will cost more.



12.  What type of report work doesn't have to be done by my GP?


  • There is some medical examination and report work that can be done by any doctor, not only a patient's GP. For this work there are no set or recommended fees which means doctors may set their own fees. We offer guidelines only.


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