Fees and Charges

Why Laurel House Surgery Charges For Some Services


Isn’t the NHS supposed to be free?


The NHS provides most health services to people free of charge, but there are some exceptions. Prescription charges have existed since 1951. Sometimes a charge is made because the service is not covered by the NHS; for example Medical Reports for Insurance Companies. You will be advised of the charge and time scale when you leave the document. 


What is covered by the NHS and what is not?


The Governments contract with GPs covers medical services to NHS patients. Sometimes the only reason that a GP is asked to provide information is because they hold a position of trust in the community, or because an insurance company wants to be sure that the information provided to them is true and correct.


Examples of Non-NHS services which GP’s can charge their NHS patients:


Accident/sickness insurance certificates and reports

Certain travel/holiday vaccinations

Private medical insurance reports

Reports for ‘fitness to start a diet regime.’

Medicals for HGV/Taxi/PSV

Elderly Driver Medicals

Holiday Cancellation forms

Shotgun Certificate Verification

Driving Licence Forms

Private sick notes and letters


Examples of non-NHS services which GP’s can charge other institutions:


Medical reports for an insurance company

Some reports for the DSS/Benefits Agency

Examinations of Local Authority/Ofsted Reports


Why does it sometimes take so long for my GP to complete a form or report?


Time spent completing forms and preparing reports takes the GP away from the care of our NHS patients. Our GP’s have a heavy workload—paperwork takes up an increasing amount of time.  Depending upon the work load and schedule of each GP please allow up to 21 days for your form to be completed.


I only need a doctors signature—what is the problem?


When a doctor signs a certificate of report, it is a condition of the Medical Register that they only sign what they know to be true. In order to complete even the simplest of forms, the doctor might have to read a patients entire medical record.


For More information about charges visit the British Medical Association Website at:



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