Enable JavaScript to ensure website accessibility
Non-NHS services

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. Not all services at the 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 General Practice surgeries. Fees and charges for these services are shown below which may be payable in advance. Any questions in regards to these services, please do not hesitate to contact the practice.


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. The NHS covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs.

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

If you have any further queries, please call the surgery 

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.

Patient medical records are not kept onsite so there is at least a 14 day waiting period needed, to allow for records to arrive at the surgery.

Further information
  • Not all documents need a signature by a doctor. You can ask another person in a position of trust to sign such documents free of charge. Read the information that comes with these types of forms carefully before requesting your GP to complete them. 

  • Please be aware that GP will not sign passport applications

  • 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 10-14 working days.

How much will I be charged, how long will it take and how do I request it?

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.

Please click, to see our current fees and charges


Please note these may be subject to change due to availability and annual reviews.

How do I pay for what I have requested?

To make a payment to the practice, please select the most appropriate heading below

Please note you must also request this via online consult: 
Supporting letter - https://www.online-consult.co.uk/org/cornbrook-medical-practice/start/14/20
Taxi Medical examination - https://www.online-consult.co.uk/org/cornbrook-medical-practice/start/14/22

Taxi Medical - £90

Supporting Letter - £15

Medical Exam - £30