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Some services provided by Ivel Medical Centre are not covered by the NHS and therefore incur a fee.
This includes certain letters, forms, medical reports, certificates, medical examinations and private referral work.
Important information
Please allow up to 6 weeks for non-NHS work to be completed.
Non-NHS work is completed outside of NHS clinical duties and does not take priority over patient care.
Payment must be made in full before work begins. We currently accept cash payments only.
How to request non-NHS work
To make a request:
Submit your request in writing, including your name, the details of what you require and any relevant forms or documents.
Address your request to the Admin & Finance Team and bring or send it to the practice.
Please provide all relevant forms and documentation at the same time.
We will confirm the fee payable where required.
Payment must be made in advance by cash before the work begins.
We will contact you when the completed documentation is ready.
Please leave any sections marked “to be completed by GP/medical practitioner” blank.
If you require documentation by a particular date, please submit your request as early as possible. Urgent completion cannot be guaranteed.
About Non-NHS Work
Why is there a charge?
The NHS provides most healthcare services free of charge. However, some services requested by patients, employers, insurers and other organisations fall outside the NHS contract.
Examples include:
Private letters and certificates
Medical reports for employers or insurers
Certain medical examinations
Private referral letters
Some forms and supporting documentation
Certain travel or occupational health services
Fees cover the clinical and administrative time required to review your medical record and prepare the requested documentation.
Why can it take up to 6 weeks?
A clinician may need to review your medical record before completing or signing a document, even where only a signature appears to be required.
This is necessary to ensure that any information provided is accurate and supported by your medical record.
Non-NHS work is completed around NHS clinical commitments. Turnaround times can therefore vary depending on clinical workload.
Can my request be refused?
GPs are not required to undertake all forms of private or non-NHS work.
Where a request cannot appropriately be completed by the practice, we will let you know.
Letters, Reports & Forms
Our clinicians can only provide letters, reports and forms containing information that is factually accurate and supported by your medical record.
You can ask for particular information to be included; however, the final content and wording of a clinical letter or report remains at the discretion of the clinician completing it.
We cannot include statements, diagnoses or opinions that are not supported by your medical record or appropriate clinical evidence.
Amendments to completed work
If you request an amendment, addition or further review after documentation has been prepared, the clinician may need to review your medical record again.
Additional fees may apply depending on the work required.
Requests for changes that are not supported by the medical record will not be actioned.
Fees for Non-NHS Services
Below are our current fees for commonly requested non-NHS services.
All payments must be made in cash before work begins. Card payments are not accepted.
Certificates, Letters & Forms
Private letter / To Whom It May Concern – minimum fee for basic letter (deposit) £35.00
Additional fee where review, production or report is required Up to £150.00
Private letter for an employer – Occupational Health £65.00
Private sick note / fit note (employer) £35.00
Witnessing Power of Attorney form £60.00
Power of Attorney examination and certificate £155.00
Adoption and fostering – AH £150.00
Adoption and fostering – AH2 £150.00
Driving licence photograph £60.00
Freedom from infection certificate £50.00
School fees insurance claim form £45.00
Health club – fit to exercise £50.00
DNA testing £75.00
Disabled parking bay application (Blue Badge) £35.00
Third-party letters, including immigration £80.00
RTA emergency treatment £21.30
Seatbelt exemption certificate £35.00
Concessionary travel form £35.00
Fitness to travel certificate £50.00
Fitness for activity – school, new jobs, university, courts £50.00
Activity gliding and certain classes of pilot £50.00
Holiday cancellation claim form £60.00
Childminder OFSTED health declaration £70.00
Police application to join £70.00
Medicals & Consultations
HGV / pilot / racing driver / taxi / public transport service examination £170.00
Pre-employment medical and report £170.00
Pre-employment report only £115.00
HPC health reference form £120.00
Court of Protection report only £120.00
Court of Protection report with examination £200.00
Private GP consultation – per 10 minutes £60.00
20-minute medical consultation £120.00
30-minute medical consultation £180.00
Private GP home visit for assessment and completion of insurance documentation £200.00
Private nurse consultation £40.00
Blood test – non-diagnostic purpose, e.g. paternity testing £50.00
GP report for life assurance / income protection applicants £70.00
GP supplementary report for life assurance / income protection £35.00
Proforma report – no examination £90.00
Travel Vaccines
Men (ACWY) £50.00
Hepatitis B for occupational health £30.00 per dose
Private Referrals
Patients who choose to access private healthcare may request a private referral letter from the practice.
A fixed administrative fee of £35.00 (cash only) applies to private referral requests.
This includes standard administrative work associated with:
Preparing a referral letter to a private consultant
Completing standard private hospital or insurance forms associated with the referral
Providing supporting medical documentation where appropriate
Additional fees may apply where extensive paperwork, reports or additional clinical input are required. We will let you know if this applies.
Payment must be received in full before the private referral documentation is prepared or issued.
Please allow up to 6 weeks for completion.
Changing an NHS referral to a private referral
If you have already been referred through the NHS and subsequently ask the practice to prepare a private referral, the £35.00 private referral fee still applies, as additional administrative work and correspondence are required.
Changing an NHS referral to a private referral
If you have already been referred through the NHS and subsequently ask the practice to prepare a private referral, the £35.00 private referral fee still applies, as additional administrative work and correspondence are required.
Private tests and prescriptions
If you receive treatment privately:
Your private specialist is responsible for arranging and reviewing investigations, results and treatment relating to your private care.
Private prescriptions will not automatically be transferred to NHS prescribing.
Any request for NHS prescribing must be clinically appropriate and comply with relevant NHS and local prescribing guidance.
Returning to NHS care
If your private specialist believes you need onward NHS specialist care, they should make the appropriate NHS referral where applicable.
Once you return to NHS care, you will be treated in the same way as other NHS patients with the same clinical need.
Fit Notes Following Private Treatment
If you have already been referred through the NHS and subsequently ask the prIf you require a fit note following private treatment, your private healthcare provider should normally provide this as part of your care.
Your GP may provide subsequent certification where this is clinically appropriate and sufficient information about your treatment is available.
Page published: 23 September 2024
Last updated: 11 August 2026
