The NHS provides most health care free of charge. However there are a number of other services for which fees are chargeable. Services not covered by the NHS include things such as medical reports for insurance companies, medical reports for PCV / HGV drivers, letters for fitness to travel, holiday cancellations etc.

If a GP is required to write a letter, sign a certificate or complete any kind of medical report, it is a professional duty that they check the accuracy of the information. This may involve examining the patient’s entire medical record.

Such work is time consuming and is carried out on a first come first serve basis.  Generally the timescale for the completion for this type of work is between 3 and 4 weeks depending on the complexity and the level of detail required.  Timescales are also affected by the number of requests we get. There is a fixed amount of time and resource available so, if we have numerous requests, timescales for completion may be longer.

When handing in a request, please make sure to pass it onto a member of the Reception team so it can be logged, do not pass it to a GP during an appointment as this will mean we cannot inform you when the request has been completed. 

Fees are based on the amount of time it takes and how complex it is to complete the work. See link below.

Where possible, we will advise you of the fee once you have handed in the request; however in some cases we will not be able to advise a fee until the GP has completed the request. 

If you require a letter or report to be completed you need to provide all the information necessary in writing. This should include the reason for the report, whom it is for and your express consent for us to share your confidential medical information. If we don’t have this information this will cause a delay in the completion of the work. You also need to allow enough time for the work to be completed.

Type of request

Fee payable

General letter


Private script


School fees/Ofsted report (childminders etc)


Insurance report


Insurance /Fostering/Adoption medicals


Medical report & examination (HGV/PSV etc)


Fitness to travel forms


Travelling with medication letter


Holiday cancellation forms


Please note that all other reports requested will be charged according to the time taken and complexity of the request.

Private consultations for overseas visitors will be charged at £30.00 per 10 mins.

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