The NHS is predominantly a healthcare service providing medical care. There are some services that the NHS does not cover, particularly requests for forms, private examinations, letters unrelated to referrals and reports.
The British Medical Association explains further why there are charges for certain requests here.
Details of charges are as follows (all charges highlighted in yellow are nationally set charges):
| Certificates/Letters of Fact | Fee |
| Written confirmation of registration | £20.00 |
| Letter - quick statement of fact | £20.00 |
| Letter - statement of medicines - fit to fly pregnancy | £20.00 |
| Private prescription | £35.00 |
| Private sickness certificate | £35.00 |
| Reports, claims and Specialist Medical Opinion | Fee |
| Medical insurance / Travel insurance / School – factual report, no examination | £40.00 |
| To whom it may concern (TWIMC) letter | £35.00 |
| Employer’s report – factual statement | £80.00 |
| Insurance company report: Supplementary additional information Medical examination with report |
£104.00 |
| Firearms licence application | £90.00 |
| Government reports | Nationally set charges - refer to website |
| Debt and Mental Health evidence form | No charge |
| Medical Examinations with Reports | Fee |
| Driver examination, e.g. HGV, LGV, taxi, PCV, elderly driver, etc. | £180.00 |
| Pre-employment medical examination and report | £150.00 £100 if for NHS or local authority |
| Other medical examinations with reports | £180.00 |
| Non-NHS Vaccinations and Travel | |
| Most vaccinations are available on NHS – please speak to reception Travel vaccinations available on the NHS - if not covered by the NHS, check if they are available at pharmacies |
|
| ADOPTION - VARIOUS - | Nationally set charges - refer to website |
There are also some medical forms or letters that the GPs cannot provide (despite some organisations telling people to go to their doctor). In particular, they cannot say with any certainty whether someone is fit enough to do an activity such as scuba diving, driving or adrenaline sports. There are private GP services available who will carry out an examination and complete a report but these are not offered at Midway Surgery.
Midway Doctors will not complete:
| ASSESSMENT OF CAPACITY - POA | Send to a solicitor |
|
Fitness opinion: Doctors are not insured to provide private fitness/safety opinion, e.g. for sports/leisure |
|
| Private Patient – only in very exceptional circumstances | |
| Certifying documents, e.g. bus pass, pension, blue badge, etc. | |
| Passport photo | |
| Hepatitis B: for occupational health purposes | Private clinics |
| Travel vaccinations not covered by NHS | Available at many pharmacies/ travel clinics |
| Housing letters | A copy of your medical summary, can be provided which may be helpful to submit as supporting information |