Service Charges and Fees

Information for Patients on Service Charges and Fees

Taxi Medicals - update July 2019

We regret to inform patients that, during the Summer period, we are unable to undertake HGV and Taxi medicals. This is due to the current and expected demand for NHS appointments.

There are alternative organisations that are able to provide these services within the Leeds and York areas, these include:


Please note that the practice is providing these details for information purposes ONLY, other organisations are available. The Surgery does not endorse any of the organisations mentioned. It is entirely up to you who you choose to provide these services for you.

Why Fees are Charged

The Government's contract with GP's covers medical services to NHS patients, however, in recent years more and more organisations have been involving doctors in a wide range of non-medical work, such as Insurance forms and reports, employment medicals and Solicitors reports to name a few examples.  Sometimes the only reason that GP's are asked is because they are in a position of trust in the community or because an insurance company, employer or public body wants to ensure that the information provided to them is true and accurate.

The Spa Surgery provides  Non NHS services, this work is completed outside of the NHS time and we ask that all requests for these services are submitted using our Request Form. Payment is required when the request is submitted and we require up to 20 working days from receipt of payment to process and complete the work.

Payment for Non NHS Services

To make the invoice and payment process as easy as possible for our patients, our preferred payment method is 'Pay by Link' a secure online debit or credit card payment facility administered by WorldPay. Find out more about 'Pay by Link' in our Patient Information Leaflet or ask a member of the Team for further details. Please note that if you wish to pay by credit card there will be an additional administration charge of 2%. Debit cards do not incur an additional administration fee. 

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The following Questions and Answers are taken from advice by the British Medical Association (BMA) to help patients understand the fees charged by GP's.

1. Do GP's have to do non NHS work for their patients?

With certain limited exceptions such as a GP confirming that a patient is not fit for jury service GP's DO NOT have to carry out non NHS work.  Many GP's, however, will always attempt to assist their patients and carry out this work.

2. Why does it sometimes take my GP a long time to complete my form/letter?

Time spent completing forms and preparing reports takes the GP away from the medical care of patients.  GP's have an ever increasing workload of forms, which must be prioritised against offering appointments.

3. I only need the GP's signature - whats the problem?

When a GP signs a certificate, completes a report or writes a letter it is a condition of remaining on the Medical Register (which allows them to practice as a doctor) that they only sign what they know to be true.  In order to complete even the simplest forms the doctor may have to check a patient's entire medical record.

Carelessness or inaccuracy can have serious consequences for the doctor with the General Medical Council (the doctors's regulatory body) or even the police.

4. Who sets the fees and why do different doctors charge different fees?

The BMA suggest fees that may be charged in certain circumstances, however, these are intended for guidance only.  Doctors are not obliged to charge the rates suggested by the BMA and the fee levels will generally reflect the amount of work and time involved.

5. Why do GP's charge for the completion of cremation forms?

A deceased person cannot be cremated until the cause of death is definitely known and properly recorded.  Before cremation takes place two certificates must be signed, one by the GP and one by another doctor.  The completion of these forms is not part of a doctor's NHS duties and the fees are usually charged to the funeral director who generally passes on the cost to the family.  These fees are agreed with the National Association of Funeral Directors, the National Society of Allied and Independent Funeral Directors and Co-operative Funeral Care.

Death Certificates are a separate form and are completed free of charge.

6. What notice is needed for completion of reports and letters?

To allow the practice to plan the GP's time, 20 working days are required, although many are completed within this time. Where a patient has an urgent request this should be explained to the receptionist, however, it is not always possible for other more clinically urgent work to be delayed. 

Examples of non NHS work include the following:

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
  • Insurance claim forms
  • Prescriptions for taking medication abroad
  • Private sick notes
  • Vaccination certificates

Please click below to view current rates for non NHS Services and Tracel Vaccination Fees

Private & Professional Services Fees

Travel Vaccination Charges


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