The National Health Service provides most health care to most people free of charge, but there are exceptions. For example, 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, producing medical reports for insurance companies.
PLEASE NOTE THAT NON-NHS WORK DOES NOT TAKE PRECENDENCE OVER OUR NHS WORK AND THEREFORE WE REQUIRE AT LEAST 2 WEEKS NOTICE FOR ANY OF THE SERVICES BELOW. ALL ENQUIRIES MUST BE ADDRESSED TO JENNY HENDERSON
Below are some further examples of non-NHS services for which NHS patients can be charged for:
- accident/sickness certificates for insurance purposes
- school fee and holiday insurance certificates
- reports for health clubs to certify that patients are fit to exercise
GPs can also charge other institutions for non-NHS services such as:
- 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
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, for example for insurance purposes, they are not required to do such non-NHS work.
Non-NHS Fees
Due to rising costs, The Old Dairy Health Centre has increased its fees for private services from 1st April 2026.
Fee Policy Statement
Fees are payable in advance and are non-refundable once work has commenced. Charges reflect clinician time, administrative processing, and professional responsibility.
Please see below revised fees.
| Service | Fee |
| Court of protection with examination | £180 |
| Driver medical with examination | £150 |
| DVLA report with examination | £120 |
| Pilot/sports licence examination | £140 |
| Road traffic accident report with examination | £150 |
| Adoption forms (per patient) | £65 |
| Blue badge form | £50 |
| Court of protection form | £95 |
| DNA testing admin/report | £75 |
| Driving licence form/signing photo | £85 |
| DVLA report only | £65 |
| Gun licence report | £75 |
| Holiday cancellation form | £60 |
| OFSTED health form | £110 |
| Power of attorney | £100 |
| Written report – detailed | £140 |
| Written report – short | £75 |
| Fit for gym | £40 |
| Fit to fly/travel | £40 |
| Fostering Application | £80 |
| Proof of age form | £40 |
| To whom it may concern letter | £40 |
| Hep A/B combined course | £210 |
| Hep B child course | £105 |
| Hep B adult course | £120 |
| Private insurance claim form | £65 |
| Private medical examination/report | £150 |
| Private referral letter | £40 |
| Private sick certificate | £40 |