Non NHS Private Fees


Private Fee Work

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

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
  • Insurance claim forms
  • Prescriptions for taking medication abroad
  • Private sick notes
  • Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability. The typical waiting time for private work is around 4 weeks.


Private Services & Fees

The charges below are based on BMA guidelines and are indicative and should be used as a guideline only due to the varying complexity of each case. All fees are to be paid upon request of service prior to the work being actioned.

Private Medical Examinations

Medical examinations for insurance policies, HGV, PSV drivers, elderly drivers, sports as well as for adoption or fostering can be arranged by appointment. Please ensure that you bring all the necessary paperwork or forms to your appointment.


  • Full Medical examination and Report (60 min) - £205.00
  • Written report without examination (30min) - £130.00
  • Extracts from Records - £67.00
  • Supplementary Reports - £27.00

Certificate and Letters

We can complete insurance claim forms, reports, passports, legal reports, certificates of fitness and holiday cancellation forms as requested. These are Non-NHS services and as such are subject to a fee, which will be in line with the latest recommended rates. Please confirm the fee when making your appointment or requesting your report/form or certificate.


  • Private Certificate (Sick Note) - £35.00
  • Private Prescription Fee (Temp patients from Overseas) - £20.00
  • To Whom it May Concern (Short Letter 10 min) - £40.00 (minimum fee of £40)
  • BUPA/PPP/etc. to refund private medical Costs without examination - £63.00
  • Fitness to Travel Certificate - £60.00
  • Fitness to Attend School - £60.00
  • Fitness to Exercise (Health Club) - £60.00
  • Holiday Cancellation Claim Form - £50.00
  • Report on Pro-Forma no examination(20min) - £90.00
  • Fostering Report – WSCC only (20min) - £90.00
  • Maximum Coroners Report - £67.50
  • GPR - £94.30
  • Firearms Letter/Certificate - £40.00
  • Adoption Patient - £75.00
  • Any simple certificate/signing forms - £18.00

Assessment of Capacity

Please note that we do not offer a service assessing mental capacity for the purposes of signing Lasting Power of Attorney, Wills or other legal documents. Your solicitor should be able to direct you to a dedicated specialized provider for this service.


  • Completion of forms including doctor visit - £205.00
  • Completion of forms only - £135.00

General Private Fees


  • Private Blood Test - £30.00 + Lab Fee
  • Private Doctor Consultation per 10 mins - £45.00
  • Private Nurse Appointment per 10 mins - £20.00
  • Private Cervical Smear Test - £79.00
  • Private ECG - £40.00
  • Private Report on previous ECG reading - £26.00

Access to Medical Records Under Data Protection Act


  • Computerised Records Only-collected - Free
  • Copies of Manual Records or a Combination first request, collection only. Subsequent or duplicates may attract a fee. - Free

Travel Vaccinations


  • Hepatitis A - Free to Arundel Surgery Patients
  • Hep A and B Combined - Free to Arundel Surgery Patients
  • Japanese Encephalitis - £70.00 per injection (course of three)
  • Meningitis - £60.00 (single injection)
  • Rabies - £80.00 per injection (course of three)
  • Tetanus and Diphtheria - Free to Arundel Surgery Patients
  • Typhoid - Free to Arundel Surgery Patients
  • Yellow Fever - Not currently available.
  • Certificate for any of the above - £15.00

Hepatitis B Vaccinations


For Travel - £60.00 per injection (£160 course of three)
At Risk Occupation - Attend Occupational Health or Employer’s Duty to Pay £60.00 per injection (course of three) Blood test at £76.80 Laboratory Fee
Students - Attend Occupational Health
Post Exposure to Hep B - Free

Private Chiropody

  • Debbie Burchell Bsc (hons), MBChA, MBChA, MSSch
  • Debbie holds a weekly clinic on Thursday afternoons

Private Physiotherapy

Sacha Pennington-Ellis Bsc (hons), Diploma in neuromuscular physiotherapy.

Sacha holds clinics at both the Arundel Surgery and at The Flintcroft Surgery in Walberton.

Book an Appointment and Service Information.

Why do GPs sometimes charge fees? Yours questions answered in our FAQ.

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