Treetops Primary Healthcare Centre, 47 Bridle Road, Bromborough, CH62 6EE

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Telephone: 0151 327 1391

Non-NHS Services

Not all services at our practice are available to our patients under the NHS. The services listed below are what are known as “Non NHS Items” and incur a private fee payable to the practice.

Full Medical Examination and Report

Taxi £ 80
Sea Farers and Off-Shore
(+Hearing Test £30, ECG £30, Drug & Alcohol £60, Blood Tests cost dependent on test)
£ 95
Other Employment Medicals incl HGV/PSV £ 104.70
Supplementary Reports £ 25

Accident and Sickness Insurance Medicals

Medical examination £ 157.05
Report no examination £ 78.20
Extract from records £ 40

Data Protection Act

Access to computerised records £ 10 (on-site)
Access to paper records £ 10 (on-site)
Access to and copies of any part of a record (computer or paper based) £ 0

Seatbelt Exemption

Seatbelt Exemption Permanent £ 104.70
Seatbelt Exemption – 3 months £ 26.20


Solicitor DPA Access to Records £ 50
Holiday Cancellation Certificates £ 16.50
Driving Licence Countersignature £ 15
Passport Countersignature £ 15
Fitness to Travel with examination £ 25
Fitness to Travel (certificate only) £ 20
Yellow Fever vaccination £ 67
Hepatitis B Course (3 injections) £ 42 per dose (£126)
Rabies (3 doses) £ 67 per dose (£201)
Japanese Encephalitis (2 doses) £ 97 per dose (£194)
Vaccination Certificate £ 15
Private Sick Note £ 15
Private Prescription £ 15
Health Club/Gym Fitness £ 25
Health Club/Gym Cancellation letter £ 25
Personal letter £ 25
Adoption/Fostering Report dependent on what is requested £ 25 – £100
Fitness to Drive Report £ 26.20
Fitness to Drive Consultation and Report £ 52.35
Childminder Ofsted Health Form £ 87.50

Why do GPs sometimes 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 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 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 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 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

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

The BMA suggests fees for non-NHS work which is not covered under a GP’s NHS contract, to help GPs set their own professional fees. However, these fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested.

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 70 hours a week – 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.

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 or even the Police.

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 doctor to decide how much to charge, but the BMA produces lists of suggested fees which many doctors use. Surgeries often have lists of fees on the waiting room wall based on these suggested fees.

What can I do to help? 

  • Not all documents need 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 all at once as a ‘job lot’ at a reduced price.
  • 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.