Private Letters/Reports
Some services provided fall outside the scope of our NHS contract and therefore incur charges. These non-NHS services include private medical consultations, the completion of medical reports and forms, vaccinations for travel, and other administrative tasks. Each service has a specific charge associated with it, reflecting the time and resources involved. For a detailed list of services and their corresponding fees, please refer to the table below.
To request a letter or report or records, please complete the appropriate form available on Online Forms. Alternatively, you may visit Reception in person to fill out a request form.
| Private Certificates | £20 |
| Private Letters | £30 |
| Pre – Employment (Examination) | £170 |
| Pre – Employment (Paper-work) | £80 |
| HGV/PSV Medical | £170 |
| Elderly Driving Medical | £80 |
| Holiday Insurance Form | £70 |
| Fit to Fly Pregnant | £70 |
| Driving/Racing Medical | £170 |
| Private Consultation | £70 |
| Fostering Medicals | £150 |
| Fostering Updated Reports | £45 |
| Ofsted | £80 |
| Taxi Card | £30 |
| Army Medicals | £80 |
| Shotgun Certificates | £120 |
Please note:
- Payment in cash is required at reception before the report or form can be completed.
- Patients who do not attend their medical or who do not cancel, giving at least 24 hours notice, will be charged 50% of the medical fee.
- The report or form may take up to 30 working days to complete after payment.
Travel Vaccinations
| Vaccinations | Price per dose (£) | Doses required | Total Price |
| Cholera (full course) | 55 | 2 | 99 |
| Cholera (booster) | 55 | 55 | |
| Chickenpox | 77 | 2 | 154 |
| Encephalitis – Japanese | 116 | 2 | 220 |
| Encephalitis – Tick-borne | 83 | 2 or 3 | 231 |
| Hepatitis A | 61 | 2 | 110 |
| Hepatitis A and Hepatitis B (Adult) | 95 | 3 or 4 | |
| Hepatitis A and Hepatitis B (Paediatric) | 95 | 2 or 3 | |
| Hepatitis B | 50 | 3 | 138 |
| Meningitis B | 141 | 3 | |
| Meningitis (ACWY) | 61 | 1 | 61 |
| MMR | 50 | 2 | 50 |
| Rabies | 110 | 3 | 308 |
| Typhoid | 44 | 1 | 44 |
| Malaria Private Prescription | 11 |
Please note:
- Vaccines will be administered following completion of Travel Risk Assessment forms will all relevant details including medical history and planned activities
- Payment must be made in cash only at reception
Why are fees sometimes charged?
When your doctor is asked to provide medical information about you in the form of a report, letter, or certificate, it initiates a series of processes. This requires time and is not always straightforward or simple to complete. Some of the requested information is not readily accessible, meaning the doctor must carefully sort and select the appropriate details for the request.
Additionally, the doctor needs to determine who will be funding this work. If it falls outside the scope of their NHS duties, they must also agree on a fee for this service.
Isn’t the work covered by the NHS?
Many patients view their doctor as the representation of the NHS and the comprehensive care it provides free of charge at the point of delivery. However, not all tasks that doctors are asked to perform are covered by NHS funding, and many GPs operate as self-employed professionals.
As a result, they must account for their own time and expenses—such as staff, facilities, heating, lighting, and other operational costs—much like any small business. The NHS funds only NHS-related services, so any work outside of this scope must be financed through alternative means, which is why fees are charged.
Why does it take so long?
Your doctor receives numerous requests, often related to assessing whether your general health permits you to perform certain activities, such as working, receiving benefits, driving, participating in sports, attending school, owning a property or firearm, or for insurance, court, or other medico-legal purposes.
The complexity, volume, and consistency of these requests can vary significantly. They range from quickly signing a certificate, which may take only minutes, to preparing a detailed report that includes an examination and can take several hours.
What is your doctor signing?
When your doctor signs a certificate or completes a report, they are required by the Medical Register to only attest to information that they know to be accurate.
To complete even the simplest forms, the doctor may need to review your entire medical record, which could include information that is not readily accessible on a computer or on-site.
Carelessness or inaccuracies in a report can have serious consequences for the doctor, including disciplinary action from the General Medical Council (the regulatory body for doctors) or even legal repercussions from the Police.
Why does my doctor seem reluctant or say no to my request?
Our doctors are often overwhelmed with work, having to balance treating patients, managing their practice, and ensuring that all tasks are performed safely and within their professional responsibilities.
With some exceptions outlined in their contract, doctors are not obligated to perform non-NHS work. However, many choose to do so for the benefit of you and other families they serve.
When a doctor agrees to undertake such work, they are advised to inform you and agree on a fee before proceeding. If the volume or complexity of the work turns out to be greater than anticipated, the doctor will contact you to discuss the next steps.
What can I do to help?
- Not all documents require a doctor’s signature and can be completed by other professionals. Please review the form and accompanying guidance, as this may help you receive a quicker response.
- If you have multiple forms that need to be completed, submit them all at once and ask your doctor if they can process them together to expedite the process.
- Do not expect your GP to complete forms immediately. Urgent requests may necessitate special arrangements for expedited processing, which may incur additional costs.
- Before booking an appointment with your doctor to complete forms, check with the doctor’s administrative staff to determine if an appointment is necessary.