Private Fees & Charges
Why do GPs charge fees? Your questions answered
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 isn't covered by the NHS, for example, medical reports for insurance companies, claims on private health insurance and other letters and forms which require the doctor to review the patient's medical records.
It is important to understand that 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 pays the doctor for specific NHS work, but for non-NHS work 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 wants to be sure that information provided is true and accurate
Examples of non-NHS services for which GPs can charge their patients
- Certain travel vaccinations
- Private medical insurance reports
- Holiday cancellation forms
- Referral for private care forms / letters
- Letters requested by or on behalf of, the patient
- In certain instances fitness to work forms
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/her patients. Most GPs have a very heavy workload- the majority of our GPs work up to 60 hours a week and paperwork takes up an increasing amount of their time. In addition non-NHS work must be undertaken outside of NHS contracted time.
We aim to complete private requests within 14 calendar days, but this is dependent on NHS requirements which take priority.
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. Therefore in order to complete even the simplest of forms, the doctor needs to check the patient's entire record. Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police.
Why do some letters cost £20 and others £50 or more?
Each request is very different and some requests can be completed very quickly as the medical history of the patient is very small and known to the GP. However, where a GP has to review a large medical history to ensure accuracy of any comment they make in a letter; or the content of the letter is extensive we must consider how much time it has taken to complete this work. Your cost includes the time the GP takes to review the request, review your medical record, to dictate a letter and the time for the admin team to type up the letter where necessary.
We do hope you understand that with so much pressure on NHS financial resources that we cannot provide private work without charge.