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Non NHS Fees 2016-2017

BOTHWELL MEDICAL CENTRE

ADDITIONAL SERVICES NOT COVERED UNDER THE NHS & SERVICES WHICH FALL OUTSIDE OF CONTRACT WITH THE NHS

 

The National Health Service provides most health care to most people free of charge,

but there are exceptions such as prescription charges. The NHS does not employ GPs

It has a contract with them to provide NHS general medical services for their patients.

Sometimes, however, GPs are asked to provide additional services, which fall outside

their contract with the NHS, and in these circumstances, they are entitled to make a

Reasonable charge for providing them.

 

WHY DO GPS SOMETIMES CHARGE FEES?

 

YOUR QUESTIONS ANSWERED

 

Isn't the NHS supposed to be free?

 

The National Health Service provides most health care to most people free of charge,

but there are exceptions: prescription charges have existed since 1951, and there are a

number of other services for which fees are charged. For example medical reports for

insurance companies

 

Surely the doctor is being paid anyway?

 

It is important to understand that GPs are not employed by the NHS, they are self employed

and they have to cover their costs - staff, buildings, heating, lighting, etc – in the same way

as any small business. The NHS covers these costs for NHS work, but for non-NHS work the

fee has to cover the doctor's costs.

 

What is covered by the NHS and what is not?

 

The Government's contract with GPs covers medical services to NHS patients. In recent

years, more and more organisations have been involving doctors in a whole range of nonmedical 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

be sure that information provided is true and accurate.

 

Examples of non-NHS services for which GPs can charge their NHS patients are:

_ · accident/sickness insurance certificates

_ · certain travel vaccinations

_ · private medical insurance reports

_ · Statements of fact relating to general health e.g. for children’s dance

classes,

_ · Letters requested by, or on behalf of, the patient

_ · Holiday cancellation claim forms

_ · Referral for private care forms

Examples of non-NHS services for which GPs can charge other institutions are:

_ · medical reports for an insurance company

_ · some reports for the DSS/Benefits Agency

_ · examinations of occupational health

_ · Requests from solicitors for patient records

 

Is it true that the BMA sets fees for non-NHS work?

 

The BMA suggests fees for non-NHS work which is not covered under a GP’s NHS

contract, to help GPs set their own professional fees. However, these fees are

guidelines only, not recommendations, and a doctor is not obliged to charge the

rates suggested.

 

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 - the

majority work up to 70 hours a week - and paperwork takes up an increasing amount

of their time, so many GPs find they have to take some paperwork home at night and

weekends.

 

I only need the doctor's signature - 

 

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 or even the

Police.

 

What will I be charged?

 

It is up to the individual surgery to decide how much to charge,

·If you have several forms requiring completion, present them all at once and ask

your GP if he or she is prepared to complete them all at once as a 'job lot' at a

reduced price.

· Do not expect your GP to process forms overnight: urgent requests may mean

that a doctor has to make special arrangements to process the form quickly, and

this will cost more.

The table below lists the Charges that this practice applies. Unfortunately, in order to

be fair to all patients, there are no exceptions to the charges.

For more complex reports or requests please ask at reception

 

Please allow 5 to 10 to working days for completion or longer if the GP is on holiday

 

BOTHWELL MEDICAL CENTRE

PRIVATE NON NHS FEES

David Sweeney

Practice Manager

 

CERTIFICATES

 

Private Sick Notes                                                                      £18.00

Simple Letter/ Certificate                                                           £18.00

Freedom from infection certificate                                              £18.00

Fitness to travel/Fly certificate                                                    £18.00

Fit for gym / exercise                                                                £18.00

Exemption from Jury Duty                                                       No fee

Passport Form                                                                          £25.00

Fitness to Dive Form                                                                 £20.00

University Application                                                                £25.00

Slimming Club                                                                          £25.00

 

REPORTS

 

DLA Form                                                                                £33.50

BUPA & PPP Forms                                                                 £40.00

Firearms/ Shotgun Response Certificate                                     £40.00

Firearms / Shotgun Medical Report (Without Examination)     £110.00

Firearms / Shotgun Medical Report (With Examination)          £170.00

School Fees Insurance Claim                                                       £40.00

Sickness/Accident Claim Form                                                   £40.00

Holiday Cancellation                                                                  £40.00

Health Club – Patient fit to exercise report                                  £40.00

Fitness to Drive DVLA                                                             £40.00

Employer’s Examination report & Opinion                                 £110.00

Insurance General Practitioners Report                                        £102.20

Insurance additional Information Form                                       £26.57 (Depending on info given)

Insurance report on pro forma questionnaire                               £74.50-£86.00

Section 2 of mental health act                                                     £168.95 (claim sent by surgery)

 

 

MEDICALS

Medicals requiring examination / Employment medicals*             £110.00

eg LGV, PCV, HGV, taxi driver, elderly driver, fitness (30 minutes,)

certificate, fitness for sport, fitness to attend school

Medical Report by GP Dictated and typed                                   £65.00- £110.00

Short Medical Report Requested by patient                                  £40.00- £65.00

Detailed written report, (30 minutes)                                           £110.00

Sectiobn

Proforma report, no exam (20 minutes)                                       £90.00

Extract from records                                                                 £70.00

*NHS Occupational Medical                                                       £45.00

*Local Authority Occupational Medical                                        £90 .00

 

TRAVEL ABROAD

Travel clinic fee per person 16 yrs and over                                 £25.00

 

Hep B Vaccination for Full Course                                             £50.00                         payable to surgery

Hep B Lab Fees                                                                        £40.00 -£50.00 Payable to Lab

Heb B Private Prescription                                                         £60.80 (Estimate)Payable to pharmacy

 

This £25.00 fee covers the time required to review your travel itinerary, check your previous vaccinations / medical history and establish what the current recommendations are for travel to your destination. The fee also covers any private prescriptions and specific advice you may need. The Pharmacist will charge a separate fee for the vaccines or medication not provided on the NHS. Private prescription for travel (without travel clinic appointment) £20.00

 

OCCUPATIONAL REPORTS

Child Minder Declaration Form   ofsted                                    £45.00

Fitness to Return to Work/Report                                             £45.00

Fitness to Undertake Employment                                             £45.00

 

MISCELLANEOUS

Witnessing Power of Attorney                                                  £45.00

 

PRIVATE PATIENTS

(Patients not normally resident in the U.K. and without non-reciprocal agreement)

Single consultation – first appointment                                        £80.00

Single consultation – review appointment                                     £45.00

Home visits                                                                               £135.00

Private Blood Test Phlebotomy appt                                           £20.00

(PLUS NHS Laboratory fee)

 

ACCESS TO RECORDS

Computerised/Manual Records – viewing only                           £10.00

Photocopies of records                                                             £20.00 Electric Records

Photocopies of Paper & Electric Notes                                       £50.00

Copies of records for police                                                       Exempt – No Charge

Copies of records for solicitor/Insurance Company                     £50.00

 

WORK EXPERIENCE/TRAVEL MEDICALS (INCLUDING PROJECT TRUST AND CAMP AMERICA)

Simple certificate                                                                        £18.00

Medical Report with brief examination (one appointment)            £45.00

Medical Report with full examination                                          £135 (for 30 minutes, charged pro-rata)

Please note: Charges for these services may vary as different organisations may have different requirements

 

Updated 01st July 2015



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