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1 September 2017

Hughenden Valley & Chequers Surgeries Non-NHS Fees 

With effect from 1 October 2017 our "Non-NHS" fees and services will be changing.

All prices will increase by 3% in comparison to those shown below.

Non-NHS Fees and Charges; Your questions answered:

Why are the services changing?

Over recent years we have seen a very sharp rise in the demand for NHS services in General Practice. We will not take on privately funded work that may impact on our ability to meet the NHS needs of our NHS registered patients.

For that reason some services will no longer be available. In every case there will be other private providers of the service that you need.

What is a Non-NHS Service?

A Non-NHS service is any service which is not funded by the NHS. While we provide many additional services as detailed below, you are under no obligation to obtain these services from us even if you are registered with us.

Why do GP’s charge fees for some services?

The National Health Service provides most health care to most people free of charge, but there are exceptions. Prescription charges, for example, have existed since 1951, and there are a number of other services for which fees are charged. Sometimes the charge is made to cover some of the cost of treatment, for example dental fees. In other cases it is because the service isn’t covered by the NHS at all, for example, medical reports for insurance companies, claims on holiday cancellation insurance and other letters and forms which require the doctor to review the patient’s medical records.

What is covered by the NHS and what is not?

The government pays your GP surgery to provide a list of specific medical services to NHS registered patients.

Currently they pay £123.58 per year in your area. That’s  33 pence per day on average to provide YOU with EVERYTHING covered by the NHS contract.

Here is he information of what is in the NHS GP contract: NHS England (NHS Contract Page)

Examples of non-NHS services for which GP’s must charge their patients:

  • Certain travel vaccinations
  • Private medical insurance reports
  • Holiday cancellation forms
  • Referrals for private care
  • Letters requested by or on behalf of the patient
  • In certain instances, fitness to work forms

Examples of non-NHS services for which GP’s must charge other institutions:

  • Medical reports for an insurance company
  • Some reports for the DSS/Benefits agency
  • Examinations of local authority employees
  • Work done by GPs requested by Social Services

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

We do not allocate any NHS funded time to attend to non NHS workload, in fact the NHS workload spills out of the NHS contracted hours every single day. Time spent completing forms and preparing reports must not be allowed to impact on the medical care of our patients and so is typically addressed outside of working 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. Therefore in order to complete even the simplest of forms, the doctor needs to check the patient’s entire record, including your archived paper notes. Carelessness or an inaccurate report can have serious consequences for the patient and the doctor, with the General Medical Council or even the police.

By requiring you to ask someone else to complete a form for them before they allow you to do something, organisations may be seeking to pass over responsibility for that decision.

Unfortunately we have neither the resources nor the expertise required to attend to every kind of form that people bring in and so naturally, there are some that we will not be able to complete for you. In every case there will be other private providers of the service that you need.

Why have some of the prices changed?

We have not revised our non-NHS fees since January 2011, but our costs have risen year on year. We are no longer able to subsidise this non-NHS workload to the same extent without any impact on our NHS commitments.

All current 2011 fees will remain in place until 31 March 2017 at which point the revised schedule below will come into force. Some, but not all of our non-NHS fees have increased, while other services will no longer be available from us due to the time constraints of our increased NHS workload.

In those circumstances, our reception team may be able to help you find other providers of the Non-NHS funded service that you require.


Why do I have to pay VAT on some but not all Non-NHS Fees?

From 1st May 2007 the practice has to charge VAT on certain non-NHS fees.

 

The policy suggested by HM Customs & Excise is that VAT is not chargeable on areas where the service directly “protects, maintains or restores the health of an individual”.

 

Accordingly, these services are currently exempt from VAT charges.

 

By way of illustration, in circumstances where the service enables the individual to undertake an activity (whether or not related to their health) or facilitates a third party to make a decision (that may or may not relate to the health of an individual), VAT IS chargeable at the standard rate of 20%.

Our VAT Registration Number is 881204046.

 

Charitable Donations:

We raise money for additional patient equipment via a charitable donations fund. 

In this way we are able to offer you some additional Non-NHS funded services free of charge, for example home blood pressure monitoring or spirometry. 

All donations are gratefully received.

Your entire charitable donation directly benefits patients that use these services and no percentage of the donation is used for administration or any other purpose.

Thank you for your support.

Non-NHS Funded Fees:

 

Who pays

Charge

PLUS VAT?

Total Charge

 

ACCESS TO INFORMATION

Any single event computerised records printout or summary

Patient

£12.00

Exempt from VAT

£12.00

Copy of records or combination of manual / computer records

Patient/Solicitor

£50.00
or

40p / page

Exempt from VAT

£50.00
or

40p / page

Admin charge for sending by recorded delivery

Patient /Solicitor

£8.00

Y

£9.60

Printout of blood results for patient’s own records.

Patient

Under

Review

Y

£0.00

 

 

ADOPTION

Adoption fees are normally paid by parent but sometimes paid by  the adoption agency

Fostering fees are normally paid by NHS

 

BCC Foster / Take a break form

 

£75.00

Exempt from VAT

£75.00

BCC Foster / Take a break update

 

£25.00

Exempt from VAT

£25.00

Form IHA Initial Health Assessment

 

£58.12

Exempt from VAT

£58.12

Forms M, B Obstetric Neonatal reports

 

£44.95

Exempt from VAT

£44.95

Forms C, D, YP or AME Full examination of child

 

£97.91

 

Exempt from VAT

£97.91

Form AH Health assessment, Prospective carer

 

£73.86

 

Exempt from VAT

£73.86

Form AH2 Update report, parent/carer

 

£24.36

Exempt from VAT

£24.36

Childminder (Ofsted health declaration booklet)

 

£56.25

Exempt from VAT

£56.25

Examination of children in/for care

 

£37.99

 

Exempt from VAT

£37.99

 

Subsequent examination

 

£24.36

Exempt from VAT

£24.36

Freedom from infection for children (for care)

 

£24.36

Exempt from VAT

£24.36

 

EDUCATION INSTITUTIONS 

School fees insurance claim form

Patient

£75.00

Y

£90.00

Fitness to attend state school

Local Authority

£25.15

Y

 £30.18

Health certificate to attend university, college, teacher or nurses training.

Patient / Employer

£70.00

Y

 £84.00

Fitness for sport at school / university etc.

Patient

£20.00

Y

£24.00

Examination and report

Patient / Insurance Company

£169.50

Y

£203.40

Extract from records

Patient / Insurance Company

£65.00

Y

£78.00

Certificate of incapacity

Patient / Insurance Company

£25.00

Y

 £30.00

 

 

FITNESS TO DO OR TO NOT DO SOMETHING 

Any Private Sick Note

Patient

£30.00

Exempt from VAT

£30.00

Any Sick Note within the first 7 days of being ill.

Patient

 £30.00

 

Exempt from VAT

£30.00

Letter confirming illness to an employer (within 7 days).

Patient

 £30.00

Y

£36.00

Fitness to cycle

Not Done

Fitness to skydive / parachute

Not Done

Any fitness to dive /

PADI Fitness for Diving Medical

Not Done

Fitness to pilot any flying vehicle

Not Done

Fitness to take part in any sport

Not Done


Fitness to take part in any sponsored event                         

 

Not Done

Fitness to take part in any gym membership

 

Not Done

Statement of not being fit to take part in gym membership

 

£40.00

Y

 £48.00

Factual report, eg statement of BP reading,  to gym or other sporting club

 

 £33.50

Y

 £40.20

 

FIREARMS 

Shotgun or Firearms Medical Report

Not Done

Statement of Opinion Regarding any Firearm.

Not Done

 

HOUSING 

We will not charge a homeless person for a letter of support relating to housing.

 

Admission to temporary residential home.

Local Authority

£25.65

Y

 £30.78

“To Whom It May Concern” letter in support of rehousing

Patient

£25.00

Y

 £30.00

Report for solicitor - 10 working days

Solicitor

£97.50

Y

£117.00

Report for solicitor –

2 working days

Solicitor

£132.50

Y

£152.50

Report for solicitor - same day

(subject to availability)

Solicitor

£226.00

Y

£271.20

Full examination with report or certificate

Patient / Employer / Insurance Company

£169.50

Y

£203.40

Any Government Department Form

Government Department

£65.00

Y

£78.00

Private report (no examination)

Patient / Employer / Insurance Company

£113.00

Y

£135.60

Report on Pro-forma

Patient / Employer / Insurance Company

£85.00

Y

£102.00

Extract from records / focussed medical report

Patient / Employer / Insurance Company

£65.00

Y

£78.00

 

INSURANCE 

Examination and report

Insurance Company

£169.50

Y

£203.40

Report without examination 

Insurance Company

£113.00

Y

£135.60

Supplementary reports

Insurance Company

£30.00

Y

£36.00

Report on pro forma

Insurance Company

£85.00

Y

£102.00

Extract from records

Insurance Company

£65.00

Y

£78.00

Certificate of Incapacity

Insurance Company

£25.00

Y

£30.00

Insurance claim form completion

Patient

£30.00

Y

£26.00

PMA Report

Insurance Company

£104.00

Y

£124.80

PMA Supplement

Insurance Company

£27.00

Y

£32.40

Report on prospective subscriber PMI / Extract from records

Insurance Company

£104.00

Y

£124.80

Complete/ sign GP Authorisation Form 

Patient

£25.00

Y

£30.00

Full medical exam and report

Insurance Company

£169.50

Y

£203.40

Provident Association claim form

(e.g. BUPA/PPP)

Patient

£26.00

 Exempt from VAT

 

£26.00

Open Private Referral Letter

Patient / Insurance Company

Under

Review

Y

£0.00

Private Referral Letter

Patient / Insurance Company

Under

Review

Y

£0.00

 

LEGAL & PROFESSIONAL SERVICES 

Full medical with report or certificate (private/insurance)

Patient/Employer/Insurance

£169.50

Y

£203.40

Report without examination (private/insurance)

Patient/Employer/Insurance

£113.00

Y

£135.60

Report on Pro-forma

Patient/Employer/Insurance

£85.00

Y

£102.00

Extract from records (no examination or opinion)

Employer

£65.00

Y

£78.00

Certificate of Incapacity

Patient

£25.00

Y

£30.00

 “To Whom It May Concern” letter with details of a patient's medical condition

Patient

£25.00

Y

£30.00

Mental Health Capacity Assessment with examination

Solicitor/Guardian

£169.50

Y

£203.40

Mental Health Capacity Assessment with no examination

Solicitor/Guardian

£65.00

Y

£78.00

Mental Health Examination

- non specialist fee

Local Authority

£53.76

Y

£64.51

Lasting Power of Attorney - Property and Financial Affairs

Not Done

Lasting Power of Attorney - Health and Welfare

Not Done

Application For Naturalisation as a British Citizen - form AN from the UK Border Agency

 

£30.00

Y

£36.00

Criminal injuries compensation report

Not Done

Passport application

(including counter-signing photograph)

 

Not Done

 

Council Tax “Certificate of Severe Impairment”

No Charge

Police Statement

Police Authority

£40.00

Exempt from VAT

£40.00

Form DS1500

DWP

£17.70

Y

 £21.24

Cremation Certification

Funeral Director

£82.00

Exempt from VAT

£82.00

Certificate of Existence

Patient

£30.00

Y

£36.00

Proof of life certificate

Patient

£30.00

Y

£36.00

Performing Arts Certificate

Patient

£30.00

Y

£36.00

Freedom from infection certificate

Patient

£30.00

Y

£36.00

Completion of application for first registration of a dentist (GDC)

Patient

£70.00

Y

£84.00

Practice Stamp added to any document for a Non NHS Funded purpose.

Patient

£20.00

Y

£24.00

 

MILITARY / POLICE / NHS / LOCAL  AUTHORITY 

OFSTED Health Declaration

Patient

£40.00

Y

£48.00

Section 17 Assessment

Local Authority

£47.50

Exempt from VAT

£47.50

Section 47 Assessment

Local Authority

£47.50

Exempt from VAT

£47.50

Safeguarding Report

Local Authority

£47.50

Exempt from VAT

£47.50

Attendance In Person

Local Authority

£79.50

Exempt from VAT

£79.50

Telephone conference

Local Authority

£79.50

Exempt from VAT

£79.50

Military/Police/Local Authority

Medical Examination / certificate / opinion

Local Authority

£113.00

Y

£135.60

Military/Police/Local Authority report without examination

Local Authority

£74.50

Y

£89.40

Extract from records

(no examination or opinion)

Local Authority

£40.00

Y

£48.00

Military/Local Authority/Police Medical

for higher grade appointment

Local Authority

£113.00

Y

£135.60

NHS Employee Prospective

Local NHS Body

£39.22

Y

£47.06

Fireman's Medical Examination

Fire Master

£113.00

Y

£135.60

Fireman's Medical Examination for Continuation of part time FM

Fire Master

£113.00

Y

£135.60

Military relocation assessment (per patient)

Local Authority

£43.00

Y

£51.60

 

PREMIUM SERVICES

 

 

 

 

2 day service (2 full working days)                                 

 

+ £35.00

Y

+£42.00

On the day service (subject to availability)                          

 

+ £128.50

Y

+£153.60

 

TRANSPORTATION 

 

 

 

 

Full physical examination and report, eg HGV, PSV, Taxi / Minicab “Application”

 

Patient

 

£169.50

 

 Y

 

£203.40

Limited physical examination (eg BP check) with report eg Taxi & Private Hire Medical “Declaration”

Patient

£75.00

Y

£90.00

Written report without any physical examination

Patient

£113.00

Y

£225.60

Extract from records

Patient

£65.00

Y

£78.00

Report to DVLA with examination

DVLA

£48.00

Y

£57.60

Report to DVLA without examination

DVLA

£23.00

Y

£27.60

Seat belt exemption

Patient

£70.00

Y

£84.00

Elderly or racing driver fitness certificates

Patient

£70.00

Y

£84.00

Driving licence photograph certification

Patient

£25.00

Y

£30.00

Blue badge Report only

Local authority

£25.15

Y

£30.18

Blue Badge Examination and report

Local authority

£39.22

Y

£47.06

Letter of appeal against adverse decision

Patient

£20.00

Y

£24.00

Bus pass application

No Charge

PCV/LGV driver

  Patient/Employer

£90.50

Y

£108.60

Local Authority PCV/LGV

  Local authority

£90.50

Y

£108.60

 

TRAVEL & VACCINATIONS 

 

 

 

 

Pregnant Woman's Medical Certificate Attesting Fitness to Fly noting their good health and indicating the baby's expected date of birth

Patient

£25.00

Y

£30.00

Fitness to travel certificate - pre-existing illness

Patient

£27.00

Y

£32.40

Prescription for drugs required solely for travel purpose e.g. Malaria tab

Patient

£13.50

Y

£16.20

Vaccination certificate

Patient

£16.50

Y

£19.80

Holiday cancellation simple certificate

Insurance Company/Patient

£25.00

Y

£30.00

Holiday cancellation insurance claim

Insurance Company/Patient

£36.00

Y

£43.20

Letter detailing prescription medicines with surgery stamp

Patient

£20.00

Exempt from VAT

£20.00

Flu Vaccine for patients not eligible for free on the NHS

Patient

£10.00

Exempt from VAT

 

£10.00

Yellow Fever

Patient

£58.00

Y

£69.60

Hepatitis B (each)

Three are required

Patient

£30.00

 

Y

 

£36.00

Rabies (each)

Three are required.

Patient

£50.00

 

Y

 

£60.00

Meningitis ACWY

Patient

£50.00

Y

£60.00

Private Prescription Charge (per course)

Patient

£20.00

Y

£34.00


 

 

TREASURY RATES

Treasury rates are applicable to:  AXA/PPP Healthcare Occupational Health Services Ltd, Department for Education and Skills (DfES), Department for Work and Pensions (Disability Support Division), Department of Trade and Industry (Coal Liabilities), Highlands and Islands Airport Authority (HIA), NHS Pensions Agency, Northern Ireland Civil Service Occupational Health Service.

 

 Extract from records

 

£50.00

Y

£60.00

 Simple written report

 

£128.00

Y

£153.60

 Medical examination and report. or complex 
 written report and opinion

 

£169.50

 Y

£203.40

Sessional fee (eg 3 hrs) .

 

£442.50

Exempt from VAT

£442.50

Treasury rate  for work in surgery

 

 

Y

 Pro Rata

Extract from records

 

£50.00

Exempt from VAT

£50.00

Report on pro forma

 

£49.00

Y

£58.80

 

 

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