Fees for non-NHS Services

What will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged. It is up to the individual doctor to decide how much to charge.

What can I do to help?

Not all documents need signature by a doctor, for example, passport applications or blue badge applications. You can ask another person in a position of trust to sign such documents free of charge.

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 GPs have to cover their costs – staff, building, heating, lighting, etc. The time spent filling out forms is not an NHS service, 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 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 want to be sure that 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

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

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- the majority work up to 12 hours a day-and paperwork takes up an increasing amount of their time.

I only need the doctor’s signature – what’s 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 or even the police.