Our non-NHS Services
Last Updated: Thursday, 11 June 2026Fees for Non‑NHS (Private) Work
(Reviewed June 2026)
NHS services are always prioritised.
Non‑NHS (private) work may take longer to complete and is subject to GP availability. We aim to process requests as soon as possible, but waiting times may vary.
Non‑NHS work is not covered by the NHS contract and is undertaken at the discretion of the GP. Fees reflect the time required for GP review, professional responsibility, and administrative handling. Payment is required before work is undertaken unless otherwise agreed.
Many patients can access the information they need free of charge via the NHS App, including their medical record, problem list and current medications, and may wish to consider whether this would meet their needs instead of requesting a letter.
Subject Access Requests under UK GDPR are provided free of charge and are not listed here.
Once you have identified the relevant fee below, if you wish to proceed please make your request via our Digital Front Door.
Services We Do Not Provide
To help manage expectations and ensure requests are handled through the correct and most effective processes, we have set out below services that the Practice is unable to provide.
Where medical evidence is required, external organisations have established routes for requesting this information directly from the Practice.
- Passport countersignatures
- Seatbelt exemption certificates
- Letters of support for:
- housing applications, rehousing requests, homelessness assessments, or priority banding
- welfare benefits, including PIP, ESA, Universal Credit, or other DWP administered benefits
- schools, colleges, or education‑related appeals where no specific medical form has been requested
See below for more information on why we do not provide these services.
A. Simple Factual Letters & Certificates
Confirmation of information already contained in the medical record; no clinical opinion.
| Service | Fee |
|---|---|
| Simple factual letter (e.g. diagnosis confirmation, attendance, medication list) | £40 |
| Private sick note / employer letter not covered by Med3 | £45 |
| Fitness for gym / health club letter | £45 |
| Freedom from infection certificate | £45 |
B. Travel & Transport Related Requests
| Service | Fee |
|---|---|
| Private prescription (including malaria prophylaxis) (per item) | £15 |
| Standard fit‑to‑travel confirmation letter (including pregnancy travel confirmation where no significant co‑morbidities) | £45 |
| Fit‑to‑travel letter with significant pre‑existing conditions | £60 |
| Letter confirming medical conditions/medication for air travel or customs | £45 |
C. Forms & Proformas (No Examination)
| Service | Fee |
|---|---|
| Simple factual proforma (1–2 pages) | £50 |
| Camp America / similar scheme – form only (no examination) | £50 |
| Holiday cancellation certificate – simple (single‑page factual) | £50 |
| Insurance claim form submitted by patient | £75 |
D. Insurance, Occupational Health & Complex Reports
This includes reports requested by occupational health providers on behalf of employers.
| Service | Fee |
|---|---|
| Report on proforma (records review only, no examination) | £120 |
| Complex holiday / travel insurance claim | £120 |
| Written medical report without examination (opinion required) | £150 |
| Report on proforma requiring GP opinion | £150 |
E. Medical Examinations & Assessments
The Practice can undertake private medical examinations for individuals who are not registered with us as NHS patients. This service is offered where appropriate, subject to availability and GP discretion, and relates to the requested assessment only.
| Service | Fee |
|---|---|
| Medical examination and report (up to 45 minutes) | £180 |
| Private hire / taxi driver medical (basic examination) | £100 |
| HGV / PSV medical and DVLA report | £165 |
| Fostering / adoption medical (with examination) | £160 |
F. Driver, Capacity & Legal Related Work
| Service | Fee |
|---|---|
| Private driver fitness opinion letter (non‑DVLA) | £85 |
| COP3 report – no examination | £110 |
| COP3 report – with examination | £200 |
| Lasting Power of Attorney – capacity assessment & certificate | £110 |
Driver fitness letters represent a private medical opinion and are not a DVLA assessment.
G. Records & Other Non‑NHS Work
| Service | Fee |
|---|---|
| Curated extract from medical records (non‑SAR) | £75 |
| Other non‑NHS GP work | £95 per 30 minutes |
Why we do not provide “letters of support”
These organisations have established processes for obtaining medical information. Where medical evidence is required, the relevant body (for example, the Department for Work and Pensions or a Local Authority) will contact the Practice directly using their own forms, which the Practice is contractually obliged to complete where appropriate.
General “letters of support” written at a patient’s request are not part of NHS services and are not an effective or reliable way for external organisations to assess eligibility or need.
The Practice will always respond appropriately to formal, legitimate medical requests received directly from statutory bodies.
Please contact our Secretary for further information about your specific needs.