Private Fees (Non NHS work) – Information for patients and third parties
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.
All fees must be paid in advance of work being completed and supplied.
A list of fees is available at reception upon asking.
We accept cash only payments.
We reserve the right to suspend, extend processing times for private/Non NHS work at any time due to busy periods.
Moorside Medical Practice are committed to supporting our patients. All requests for letters for benefits, council or any other third parties, we will only complete with a formal request from the third party.
Please note all requests from the third party will require the patients formal consent.
We will only complete factual responses. We are not allowed to give an opinion. If in doubt we will refuse to complete the request.
Be aware we charge for any requests, and these can take up to 28 days.
Housing Applications
We do not provide letters for housing, so please do not request these. Whilst we appreciate that housing problems can be stressful, this is a matter for the council housing office. If the council requires additional medical information, they will send a specific form to the GP surgery. You will need to provide your written consent for this.
If you are intending to apply for a council home for health reasons, you do not need a doctor's letter.
The Council will write, in confidence, to your doctor if further information is required.
GPs receive frequent requests for medical letters and reports in support of housing applications from a variety of sources – the local authority, housing associations, directly from patients and from patients via Citizens Advice Bureaux. The arrangements for seeking GP reports and for payment vary from local authority area to local authority area, and even when clearly agreed are often not implemented by local authority staff. However all requests should come via the Housing Association and not the patient.
Information in support an application based on health grounds should be supplied by the applicant using a form provided by the Housing Department (self-assessment). This should not require any input from the GP/practice.
Only if additional information is required, should the Housing Department Medical Officer obtain it from the applicant’s doctor, preferably using a standard form, provided the patient has given written consent. The Medical Officer should seek information which is only available to the GP, for example:
- the diagnosis;
- severity of the illness;
- medication