Non-NHS Work

Not all services in General Practice are available under the NHS. Where patients request non-NHS items or services, a private fee may be payable in accordance with British Medical Association (BMA) guidance and in line with charges applied by other local General Practices. Fees and charges for these services are shown below and are payable in advance. Any questions in regards to these services, you can contact us on 020 8578 1244.

Private Services List and Fees

Updated October 2023 – 1st June 2017 – This list is not exhaustive, if your request does not fall into any of these categories please speak to us.
Medical/Employers examination and report£125
Sickness/Insurance medical examination, no report£80
Medical report with no exam£90
Holiday/Health insurance forms£40
To Whom It May Concern letter (including for Gym, health cub etc.)£40
Amendments to letters/reports already completed£25
These prices are a guideline; please speak to our patient advisors for further information if needed

Copies of Letters or results

As you are able to view most of your record online, and most hospital letters are copied to patients, we do not normally provide copies of letters or results. Check your NHS app or other online service before approaching reception. Your NHS hospital consultant can view all your pathology results on their system so there is no need to provide them with copies.

How to request

  • All requests must be in writing, self-explanatory and signed by the patient requesting the information.
  • All forms must be accompanied by a letter of explanation and signed by the patient requesting the information.
  • If the patient is under the age of 16, the written request will only be accepted from a parent or guardian.
  • If you are acting on behalf of a patient aged 16 or over, a signed letter of consent must be given by the patient requesting the information.
  • You will need to contact the surgery to see if your request is ready. Please allow at least 15 working days.
  • Most requests will incur a charge. See price table above.
  • It is the responsibility of the patient to collect and post any forms that are brought in to the surgery for completion, even if there is a pre-paid envelope.
  • All requests must be handed into reception. Please do not pass your request directly to the GP as this will only cause a delay.
  • Reports can only include factual information.


We no longer sign any passport forms or photos at this practice.

Further Information on Non-NHS Work

What is non-NHS work and why is there a fee?

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 because the service is not covered by the NHS, for example, providing copies of health records or producing medical reports for insurance companies, solicitors or employers.

The Government’s contract with GPs covers medical services to NHS patients but not non-NHS work. It is important to understand that many 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.

In recent years, however, 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 ensure that information provided to them is true and accurate.

Examples of non-NHS services for which GPs can charge their own NHS patients are:

  • accident/sickness certificates for insurance purposes
  • school fee and holiday insurance certificates
  • reports for health clubs to certify that patients are fit to exercise
  • private prescriptions for travel purposes

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

  • Life assurance and income protection reports for insurance companies
  • Reports for the Department for Work and Pensions (DWP) in connection with
  • Disability living allowance and attendance allowance
  • Medical reports for local authorities in connection with adoption and fostering
  • Copies of records for solicitors

Do GPs have to do non-NHS work for their patients?

With certain limited exceptions, for example a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients. Whilst GPs will always attempt to assist their patients with the completion of forms, they are not required to do such non-NHS work.

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

The British Medical Association (BMA) suggest fees that GPs may charge their patients for non-NHS work (i.e. work not covered under their contract with the NHS) in order to help GPs set their own professional fees. However, the fees suggested by them are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates they suggest.

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 our patients. Most GPs have a very heavy workload and paperwork takes up an increasing amount of our time. Our GPs can only do non-NHS work at times that mean that NHS patient care does not suffer.

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 (the doctors’ regulatory body) or even the Police.

If you are a new patient we may not have your medical records so the doctor must wait for these before completing the form.

What will I be charged?

It is recommended that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to individual doctors to decide how much they will charge. The surgery has a list of fees based on these suggested fees which is available above.

What can I do to help?

  • Complete all your parts before handing it in to use. Read the information that comes with the forms carefully before requesting your GP to complete them.
  • 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 at the same time to speed up the process.
  • 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 may cost more. Usually non-NHS work will take 15 working days.

Doctor’s Letters

You may require a doctor’s letter for various reasons e.g. fitness to travel or confirmation of medical conditions.  Please contact reception to make your request which will be dealt with in the most appropriate way. There will be a fee for these letters as stated in the table above.

We do not provide letters to support housing applications. This is on advice from Ealing Council and you can read this by clicking the link below:

If you are pregnant and require a doctor’s letter as proof of ‘permission to travel’ please be aware that many airlines require your doctor’s letter to be signed within 48 hours of international travel. We may not be able to provide the letter in such a tight timescale.

Please note that you will not be provided with a doctor’s ‘permission to travel’ letter if you are due in less than 30 days or if your pregnancy is considered high-risk.