The NHS does not pay for some of the services we provide. These include private sick notes, insurance forms, holiday cancellation forms, medical reports, fitness to travel certificates, private prescriptions, and some vaccination services. Our fees for these services, which are in line with BMA approved national guidelines, are displayed in the surgery.
Non-urgent advice: Patient Notice
Please be aware that reports can take up to 4-6 weeks to be completed.
Medical Examinations
Special appointments are made for elderly driver’s checks and insurance examinations as these take too long to carry out in a normal surgery.
TYPE
Amount
NOTES
VAT
TOTAL
Accident Insurance
GP report for insurance applicants
£ 104.00
Exempt depending on circumstances
GP supplementary reports
£ 27.00
Report on pro forma 20 minutes
£ 89.50
Accident insurance certificate – short certificate of incapacity without examination for patient to claim under accident insurance
£ 30-63
Adoption and Fostering
Initial health assessment, looked after child Form IH
Exempt
Obstetric neonatal report Forms M, B
Exempt
Full medical examination of child Forms C, D, YP or AME
Exempt
Health assessment, prospective parent/carer Form AH
£ 76.00
Plus VAT
£ 15.20
£ 91.20
Update report parent/carer Form AH2
£ 50.00
Plus VAT
£ 10.00
£ 60.00
DWP – statutory fee
GP factual report for disability living allowance and attendance allowance
£ 33.50
Plus VAT
£ 6.70
£ 40.20
DS1500 form
£ 17.00
Plus VAT
£ 3.40
£ 20.40
Blood Test
Private Diagnostic
£ 50
Plus VAT
£10.00
£ 60.00
Certificates
Simple Factual Certificate
£ 40.00
£ 40.00
More complex Certificates private sick note (incapacity certificate required by patient to present to an employer – not statutory certificates) Accident or sickness insurance certificate/ Validation of private medical insurance claim form to support a claim School fees and holiday insurance certificates
£ 40 -£60
Firearms Certificate
£100
£100
Childminder Ofsted Health Declaration Form
£ 91.00
Plus VAT
£18.20
£109.20
DVLA – statutory fee
ProForma
£ 40.00
Plus VAT
£ 8.00
£ 48.00
Examination
£ 90.00
Plus VAT
£18.00
£108.00
Fitness to Drive includes HGV and Taxi
Examination
£ 120.00- £180.00
Exempt unless Taxi/HGV
No examination
£ 80.00
Exempt Unless Taxi/HGV
£16.00
£ 96.00
Health Promotion
The doctor may advise you regarding smoking, alcohol consumption and lifestyle. these questions will also be raised by practice nurses and the health care assistants.
The clinicians will carry out medication reviews at least annually.
Private Blood Tests and Medication
Following new guidance issued to us by the Local Medical Committee, we are no longer allowed to do blood tests or issued medication for conditions that are being investigated or treated privately.
The guidance we have received from the Local Medical Committee is as follows:
If a patient is being seen privately, then everything associated with that care is private. Thus, if the specialist orders a test which is part of his investigation then he should arrange it, act on the result and bill the patient. If a specialist refers the patient back to the GP this should only be done on completion of his treatment/investigation and may offer suggestion about further management which might include blood test … it would be at the GPs discretion and he/she would have to be prepared to act upon the result. You cannot mix and match private and NHS treatment.
We have notified the local private specialists and they understand that we are no longer able to supply this service to their private patients.
To avoid embarrassment, please do not ask one of our doctors to either prescribe private medication or request blood tests requested by your specialist as we will have to refuse.
Minor operations
With Dr Cranston’s departure from the practice, we are no longer able to offer this service; you will be referred elsewhere if a minor procedure is required.
Mental Capacity Assessments
GPs are often asked to make Mental Capacity Assessments for patients. These assessments can be requested for a variety of different reasons. As GPs it is an essential part of our role that we are able to perform capacity assessments which relate to decisions regarding medical investigations, treatment and care.
However capacity assessments relating to overall welfare, finances and property are often more complex and sit outside our expertise.
The level of risk and responsibility linked to capacity assessments can be extremely high. Decisions such as whether someone’s house is sold or how their life savings are spent can depend on capacity assessments. It is therefore essential that adequate time and attention is dedicated to these assessments.
It is also necessary that those carrying out these assessments for legal purposes are highly trained and experienced in this area.
Legal capacity assessments do not fall within the NHS duties of GPs. There are other professionals who can perform mental capacity assessments including solicitors and psychiatrists.
As a surgery we do not offer Mental Capacity Assessments for legal purposes for our patients. To do so would require significant resources being diverted from our core duties as a healthcare provider. We feel there are other professionals available with more appropriate training, legal protection and expertise who can perform these assessments.
We realise that this practice policy may cause some inconvenience to our patients but hope you can understand that our priority must be to our core NHS duties as a health care provider.
Holiday and Foreign Travel Update
We currently offer NHS travel vaccinations, but not private vaccinations.
In order for us to provide your vaccinations, we require a MINIMUM of 8 weeks notice prior to travelling. Please pop into the surgery to get a travel form, or you are able to fill it out here.
If you are travelling in less than 8 weeks, you would need to visit a private travel clinic. We are able to provide you with your vaccination record if you require this.
Flu Vaccinations
Flu is a highly infectious illness caused by the flu virus. It spreads rapidly through small droplets coughed or sneezed into the air by an infected person. For most people flu is unpleasant and not serious and you will usually recover within a week.
Studies have shown that flu vaccines provide effective protection against flu, although protection may not be complete and may vary between people. Protection from the vaccine gradually decreases and flu strains change over time. Therefore new vaccines are made each year and people at risk of flu are encouraged to be vaccinated every year.
The flu vaccination is offered to people in at-risk groups.These people are at a greater risk of developing serious complications and even dying if they catch flu.
It is recommended that you have a flu jab if you:
are 65years old or over
at any stage of pregnancy
have a serious medical condition such as chronic respiratory disease, chronic heart disease, chronic kidney disease, chronic liver disease, chronic neurological disease, stroke or TIA, diabetes, or a weakened immune system.
are living in a long stay residential care home or other long stay facility
are the main carer for an elderly or disabled person whose welfare may be at risk if you fall ill
are morbidly obese (BMI over 40)
are a frontline health or social care worker
Family Planning
Advice and review by practice nurse.
Time: booked in surgery time.
HRT
Advice and annual review by our specialist HRT nurse.
Time: booked in surgery time.
Hypertension/Coronary Heart Disease
Annual review by practice nurse in month of your birthday – click here for more info on high BP.