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Non NHS Private Fees

Find services offered at the practice that are private (require a fee to access).

Private Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

GP letters
Insurance claim forms
Shotgun and firearms certificates - please note that these requests are currently taking 4 to 6 weeks
Army recruitment paperwork
Adoption reports
DVLA forms - but only if asked for by the DVLA
Second/ Onwards request of medical notes

Our Business Support Team will be happy to advise you about our current turnaround period and applicable charges.

Please contact them via this online form.

Services we do not offer

Some services provided are not covered under our contract with the NHS and therefore are currently not offered at Banbury Cross Health Centre. You will need to find an alternative provider, who may charge. Examples include the following:

Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
Travel letters e.g. fit to fly, medication letters
Passport signing
Private sick notes

This is not an exhaustive list. If you have any questions, please contact us.

Requests from Private Providers to Take Blood Tests

Banbury Cross Health Centre follows the following NHS England guidance regarding requests for blood tests to be done by a private provider:

If a patient has chosen to pay for private healthcare because

a) their treatment is not available on the NHS or
b) they do not wish to be treated on the NHS

they are responsible for paying for all costs, including tests, and the private provider is responsible for managing every aspect of their healthcare (unless the patient chooses to transfer back to the NHS at a later date to continue treatment).

For that reason, private providers should not be asking GPs to arrange any tests that they deem necessary, and intend to use, to make a diagnosis and recommend a course of treatment with.

It is the private provider’s responsibility to arrange tests for patients whose care they are managing, and the patient’s responsibility to pay for them.

Frequently Asked Questions

Read our FAQs about non-NHS and private services.

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.

Can you give examples of non-NHS services for which GPs can charge their NHS patients:

accident/sickness insurance certificates
certain travel vaccinations
private medical insurance reports

Can you give examples of non-NHS services for which GPs can charge other institutions:

medical reports for an insurance company
some reports for the DSS/Benefits Agency
examinations of local authority employees
DS 1500 Form (Disability Living/Attendance Allowance)

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. You should expect the form(s) to take up to 4 weeks for the GP to complete and return

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