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Private Charges - Non NHS

Why do GPs charge fees?  Your questions answered.

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 still exist in England and there is a number of other services for which fees are charged.  Sometimes the charge is made to cover some of the cost of treatment, e.g. dental fees.  In other cases it is because the service is not covered by the NHS, e.g. medical reports for insurance companies, claim forms for referral for private care, letters and forms which require the doctor to review the patient's medical records, etc.

Surely the doctor is being paid anyway?

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.

Examples of non-NHS services for which GPs at Kenmore charge their NHS patients are:

Certain travel vaccinations
Private medical insurance reports
Holiday cancellation claim forms
Referral for private care forms

Examples of non-NHS services for which GPs at Kenmore charge other institutions are:

Medical reports for an insurance company
Some reports for the DWP/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. GPs have a very heavy workload and paperwork takes up an increasing amount of their time.

I only need the doctor's signature!

When doctors sign a certificate or complete 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 medical record.  Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police. The charge reflects either the time required to check information and/or the degree of responsibility in signing the document. If a form is required urgently (e.g. within 48 hours) then this will increase the charge.

What will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged, and how much.  It is up to the individual practice to decide how much to charge, but the BMA produces lists of suggested fees for the doctors to use as a guideline.

Charges at Kenmore

At Kenmore we have a list of fees displayed at reception, and they are also listed below.
In the past we have completed reports and forms before payment has been made, but have sadly found there to be many occasions when the doctor has given up the time to do the work, but the fee has not been forthcoming.  Therefore the fee must be paid in advance at the time the request for the letter or form to be completed is made or when the appointment for a medical is booked. 

We Cannot Make Exceptions. 

What can be done to avoid charges?

Not all documents need to be signed by a doctor.  For example, you could ask another person in a position of trust, who may be willing to sign a passport application free of charge.  Possibly a teacher, an accountant, etc. including those who are retired.

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.

Kenmore Medical Centre - Price List For Non NHS Services
November 2014

Marked inc vat at 20% where applicable

CERTIFICATES FEE
Private sick note £29.50 – 61.50
Pro formas simple/complex £20.00 - £75.00
Private prescription for drugs not needed immediately by patients travelling abroad £20.00
Freedom from infection certificate £30.50
Vaccination certificates - Dependent on vaccine See reception
Holiday cancellation Form – Simple/Complicated £30.00/£60.00
Fitness to travel certificate/extract from records £30.00
International certificate of vaccination £24.00
BUPA/PPP Certification £40.00
‘To whom it may concern’ note £24.00
Report of incapacity to work Power of Attorney: In Surgery
At Patient’s Home
£66.00 £120.00
£180.00
REPORTS FEE
Insurance claim form BUPA/PPP/Norwich Union pro forma/extract from records £55.00/£75.00
Report on prospective subscriber £60.00
Accident full medical & report/report/pro forma £148.00/£98.50/£66.00
Sickness insurance Examination & report
Extract from records
Certificate of incapacity
£170.00
£60.00
£20.00

Sickness/accident benefit claim form (extract from notes) £72.00
Sickness/accident short certificate without examination £20.00
School fees/insurance claim form £36.00
Employer’s report and opinion without examination £90.00
Employer’s report and opinion with examination £150.00
Copies of reports for patients under
Access to Health Records Act 1990
£0.50 per side + £10.00
admin fee
Access to records under Data Protection Act £10.00
Access to manual or mixed records Up to £50.00
Attendance Allowances/disability living allowance
GP factual report
DS 1500 form

£40.50
£21.50

Housing reports
Examination & report
Report only

£60.00
£3.00
Notification of infectious diseases £6.00
MEDICAL EXAMINATIONS FEE
Fee for medical consultation - private patient per hour £60 for up to 15 mins
£240 per hour
Pre-employment medicals with report (Private)/Records extract £197.50 (inc. £15.00 non-refundable deposit when booking)/£66.00
Pre-employment medicals with report (Local Authority)/Records extract £120.50 (inc. £15.00 non-refundable deposit when booking)/£39.60
Pre-employment medicals with report (NHS) Discretionary up to £50
HGV, LGV, PCV, taxi driver examination with/without full medical £144.00/£110.00
Inc. £15.00 non-refundable deposit when booking
Elderly driver fitness certificate with/without full medical £60.00/£120.00
Racing driver fitness certificate with/without full medical £144.00/£110.00
Inc. £15.00 non-refundable deposit when booking
Sports medicals with report £80.00 - £120.00
Fitness to exercise examination and report/proforma/short note £80.00/£55.00/£25
Fit to attend state school examination & Report/Report £40.50/£25.90
Seat belt exemption examination with/without full medical £50.00/£100.00
Life Insurance proposal - GP Report £104.00
Life Insurance proposal - GP examination and report £140.00
Life Insurance supplementary report £27.00
Examination of blind or partially sighted (form BD8)/re-examination £77.75/£62.50
Nursing/Residential Home Assessment. Report Only/Examination & Report £80.00/£120.00
Child Minder Ofsted Declaration Form £87.50
E.C.G. with Basic Report £45.00
ADOPTION FORMS FEE
Initial Health Assessment (IHA) – Looked after child £81.50
Forms M, B – Obstetric neonatal reports £46.50
Forms C,D,YP or AME – Full medical examination of child £101.10
Form AH – Health Assessment prospective carer £92.00
Form AG2 – update report, parent/carer £30.00
DRIVING FORMS (DVLA) FEE
VOC Cert DVLA £13.00
Series 2 pro forma DVLA £44.00
Visual fields copy from records £46.00
VOC Testing ECG DVLA £97.00
Local Authority PCV/LGV driver £120.00
Blue badge examination & report/ report only £48.50/£33.00
Mental Health Act sectioning (part 2 – not 12/2 approved) £59.00
PATHOLOGY FEE
Blood Tests carried out by Kenmore Medical Centre £20.00 + Path Lab fees
PRIVATE PATIENTS FEE
Consultation with a doctor 10 minutes £50.00
Consultation with nurse £35.00
Home visit £75.00
Telephone consultation with doctor £30.00
Private prescription without a consultation £10.50
Referral letter to private consultant £32.00
Fees for tests and investigations will vary according to the tests required
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Your Neighbourhood Professionals Save time and nominate your local pharmacy.
Expert Aesthetics Westgate Dental Practice, Wilmslow Nutrisential British Cardiologist
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