Our non-NHS Services
Last Updated: Thursday, 08 October 2026Fees for Non‑NHS (Private) Work
(Reviewed October 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 there are no significant pre-existing conditions | £45 |
| Fit‑to‑travel report for patients with significant pre‑existing conditions | £120 |
| Letter confirming medical conditions/medication for air travel or customs | £45 |
Many travel requests can be completed as a simple confirmation letter. However, where significant medical conditions need to be considered, a more detailed fit‑to‑travel report may be required. If this applies, we will discuss the fee with you before proceeding.
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 capacity assessment and Court of Protection report, single decision | £600 |
| COP3 capacity assessment and Court of Protection report, two decisions assessed together | £900 |
| Formal mental capacity assessment for Lasting Power of Attorney | £600 |
| LPA certificate provider only, where no formal capacity assessment is required | £100 |
Driver fitness letters represent a private medical opinion and are not a DVLA assessment.
The above fees apply to assessments undertaken at the Practice; additional charges may apply where a home visit is required.
Capacity assessments are undertaken at the GP's discretion and only where the GP considers that they have the appropriate knowledge and expertise to provide the required opinion. Complex or contested cases may need assessment by an appropriate specialist.
Lasting Power of Attorney (LPA)
You do not normally need a GP or solicitor to make a Lasting Power of Attorney. You can make and register an LPA yourself using the official GOV.UK service.
An LPA can only be made while the person making it has the necessary mental capacity. If there is uncertainty about their capacity to make the LPA, a formal assessment of mental capacity may be appropriate. Please refer to the official GOV.UK guidance before requesting an assessment.
Every LPA requires a certificate provider, who confirms that the person understands what they are doing and is not being pressured into making the LPA. This can be someone who has known them well for at least two years or, alternatively, someone with relevant professional skills, such as a doctor or lawyer, subject to the eligibility rules. If you do not have a suitable person who can act as your certificate provider, a GP at the Practice may agree to act as certificate provider for a fee of £100. This is at the GP's discretion.
This is different from a formal medical assessment of mental capacity. Where such an assessment is specifically required, our fee is £600. Neither fee includes preparing or processing the LPA application itself.
G. Records & Other Non‑NHS Work
| Service | Fee |
|---|---|
| Collated/curated medical record information for a third-party request (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.