Non-NHS services that GPs can charge for

Are GPs allowed to charge for some services?
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The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. However, GPs are allowed to charge for some services as they are not considered core NHS work (ie. work not covered under their contract with the NHS). 

Examples of non-NHS services for which GPs can charge their own NHS patients:

  • accident or sickness certificates for insurance purposes
  • school fee and holiday insurance certificates
  • reports for health clubs to certify that patients are fit to exercise

Examples of non-NHS services for which GPs can charge other institutions:

  • 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.

Click here to find out more about when GPs can charge for services. 

How much can GPs charge for Non-NHS work?

The BMA (British Medical Association) suggest fees that GPs may charge their patients for non-NHS work in order to help GPs set their own professional fees. However, the fees suggested by the BMA are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates the BMA suggest.

Click here to find out more about suggested fees for work that has to be carried out by a patient's own doctor. 

Click here to find out the types of work that can be carried out by any doctor who is not the patient's own doctor.

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