Private Work/Non-NHS Work

We are happy to assist you with a range of services outside of the standard NHS requirements, however you will be asked to pay a fee.

Medical Reports, Forms and Letter Requests

Florence House receives numerous requests from patients and third parties (insurance companies, employers etc) to provide a range of documents such as medical reports, medical opinion letters or information from medical records.

Most health care provided by the NHS is free of charge but there are some exceptions to this i.e. private/non-NHS work. GPs can decide whether they will undertake private work or not.

Examples of chargeable services to patients include but are not limited to

  • accident/sickness certificates for insurance claims
  • school fee and holiday insurance certificates
  • reports for health clubs/sports clubs to certify that patients are fit to exercise
  • private prescriptions for travel
  • fit to fly letters

Examples of chargeable services to third parties include but are not limited to

  • life assurance and income protection reports for insurance companies
  • medical reports for local authorities in connection with adoption and fostering
  • DVLA requests

Do GPs have to do non-NHS work for their patients?

GPs do not have to carry out non-NHS work on behalf of their patients. At Florence House, we aim to support our patients as much as possible, however, we sometimes have no choice but to pause new requests for non-NHS work. In cases where non-NHS requests are accepted, the wait is usually quite significant. This is due to the high-demand for these services, pressure on NHS workloads and GP availability.

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 their patients. Please therefore do not expect your request to be undertaken quickly, even if you are under a short time frame. We aim to assist if we can, but we are not obliged to expediate a request, particularly if it means that patient requests that have already been waiting will take even longer.

I only need the GP’s signature – why the delay?

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 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.

If you are a new patient, we may not have your medical records so the doctor must wait for these before completing the form.

Finally, please be respectful as we try to assist you with your request. We have a zero-tolerance policy with regards to abuse towards staff.

Non-NHS Work Fees

These fees are payable in advance that a charge is made in all cases and the doctor does not have the discretion to waive the charge. Currently the time for processing private work is minimum 120 working days. We do not sign passport forms. 

Private Sick Note – £15.00

Duplicate Sick Note – £5.00

Simple Medical Letter – £25.00
i.e Employer, School, University,
Housing, TWIMC

Complex Medical Letter – £30.00 – £40.00

Fitness to Travel Letter – £35.00

Report (without examination)
Holiday Cancellation Form – £45.00

Report for Insurance or Accident
and Sickness Claim – £50.00

Insurance Mortgage/Life – £100
Depending on complexity

Extract from Medical Records Report – £75.00

Bus Pass – £30.00

Report and Opinion – £125.00

Firearms – £80.00

Report (with examination)
Licence Medical Report – £115.00

Other Driving/Flying Medical Report – £115.00

Pre-Employment Medical Report – £115.00
(holiday reps, cruise ships)

Please ask for a receipt. Updated November 2023