Lisnaskea Medical Centre

Non-NHS services

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, passport signing and some vaccination services. Our fees for these services, which are in line with BMA approved national guidelines, are displayed in the surgery.

The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. In recent years, however, more and more organisations have been involving doctors in a whole range of non-medical work. Sometimes the only reason that GPs are asked is because they are in a position of trust in the community, or because an insurance company or employer wants to ensure that information provided to them is true and accurate.

The BMA (British Medical Association) suggest fees for non-NHS work which is not covered under GP’s NHS contract, to help GPs set their own professional fees. However, the fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested. The BMA recommends that GPs tell patients and third parties in advance if they will be charged, and how much. It is up the individual doctor to decide how much to charge.

Do GPs have to do non-NHS work for their patients?

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.

Why does it sometimes take my GP a long time to complete my form?

Time spent completing forms and preparing reports takes the GP away from the medical care of his or her patients. Most GPs have a very heavy workload and paperwork takes up an increasing amount of their time, so many GPs find they have to complete this work outside of and in addition to their normal hours.

I only need the doctor’s signature – what is the problem?

When a doctor 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 doctor with the General Medical Council (the doctors’ regulatory body) or even the police.

A list of our fees

All fees must be paid in advance of work being completed and supplied.

We accept payment by card only.

We reserve the right to suspend, extend processing times for private/Non NHS work at any time due to busy periods.


Full medical and report including HGV /LGV / PSU / PCV /COACH/ BUS / TAXI Elderly/ Diabetic driver£133.00
Pre-Employment Examination and Report£133.00
General and Employment Medical Examination and proforma report£170.00
Proforma report only£89.50
Written Report without Examination, providing a detailed opinion and statement on the condition of the patient (eg 30 minutes)£133.00
GP Report for Insurance Applicants£104.00
Fitness to Travel Letter (no medical)£40.00
Fitness to Travel (with examination)£80.00
Accident or Sickness Insurance Certificate – short certificate of incapacity without examination for patient to claim under accident or sickness insurance 
Freedom from Infection Certificate


Private Sick Note (any sick note within the first 7 days is private)£40.00
Validation of Private Medical Insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form£40.00
Letter to Airline regarding Medication etc

(print out only incurs no fee)

Cancellation of Holiday Claim Form£40.00
To Whom It May Concern Standard Letter£20.00 – £50.00
Childminder (OFSTED health declaration form)£87.50
Signature for health declaration form for work£20.00
Medical Insurance certificate£65.00
Adoption/Foster assessments, AH formsusually paid by the adoption/fostering agency or authority


As a general rule we don’t provide:

Capacity assessment

Letter regarding Fitness to Exercise

Shotgun licence

Private Prescriptions- you can take your script from the private provider directly to the community pharmacist

Private consultations (oversees visitors)



Medical report information form

It would help the doctor filling in your form and writing the letter or report if you would fill in the following form


Date published: 8th October, 2014
Date last updated: 30th October, 2023