Clinics and Services

We provide a range of services and clinics.

GP fees

Non NHS Services

The NHS provides free health care for most people, but some services are not covered by NHS payments to the practice. GPs may, at their discretion, offer additional services (such as private medicals, holiday cancellation forms, letters requested by patients, gun license applications and renewals etc.) that they charge for.

Your doctor, secretarial or admin staff should inform you of any charges before this work is carried out. All non-NHS work will need to be paid for in advance. Once payment has been received, an appointment will be made if needed. Forms will be completed within 5-10 working days of receiving payment. Urgent requests may mean that a GP has to make special arrangements to process the form quickly, and this will cost more. If a letter or form is needed within 2 working days, a 50% surcharge will be added. Please note it may not be possible to accommodate short notice requests.

Forms only requiring a signature do involve additional work. When a GP 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 GP with the doctors’ regulatory body or even the Police. If a GP signs a certificate or completes a report, it is a professional duty that they check the accuracy of such information.

Fees

Letters and Forms:

To Whom It May Concern (TWIMC) £30 (But this may be more depending on amount of work needed)

Certificate of Fact £30

Holiday Cancellation Form £50-£80

Fitness to Travel (no exam) £40

Insurance Report (no exam) £100

Adoption AH2 (no exam) £45

International Certificate of Vaccination £25

Firearms £75

Medicals:

Insurance medical + report £150

Adoption £99

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 essential 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. Some GPs do agree to perform these assessments privately at a fee, but many others feel the risks of doing so are too high or that the time needed to perform an adequate assessment is not available to them. There are other professionals who can perform mental capacity assessments including Solicitors and Psychiatrists.

As a surgery we do not feel we have the capacity to 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 health care provider. It would also pose a significant legal and financial risk to our GPs. We feel there are other professionals available with more appropriate training, legal protection and expertise who can perform these assessments.