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 services for which fees are charged.
Sometimes charges are made as the service is not covered by the NHS, for example, providing copies of health records or producing medical reports for insurance companies.
Surely the doctor is being paid anyway?
It is important to understand that many 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 fees charged by GPs contribute towards their costs.
What is covered by the NHS and what is not?
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.
Examples of non-NHS Services for which GP’s can arrange
- Accident/Sickness certificates for insurance purposes
- Reports for health clubs to certify that patients
- Pre-employment medicals, as requests by employers
Examples of non-NHS Services for which GP’s can charge other institutions are
- Life assurance and income protection reports for insurance companies
- Reports for the Department of Work and Pensions(DWP) in connection with disability living allowance and attendance allowance
- Medical reports for local authorities in connection with adoption and fostering
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 requires to do such non-NHS work.
Is it true that the BMA sets fees for non-NHS work?
The BMA suggests fees that GPs may charge their patients for non-NHS work (i.e. work not covered under their contract with the NHS) in order to help GPs set their own professional fees. However, the fees suggested by the BMA are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates they suggest.
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 take some paperwork home at night and weekends.
I only 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.
What will I be charged?
The BMA recommends that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to induvial doctors to decide how much they will charge, but the BMA produces lists of suggests of fees which many doctors use.
The Roxton Practice Fees for non-NHS Services
Click below to view the Services and Fees