Charging Patients

BMA guidance on charges to NHS patients

The BMA website contains detailed guidance about work that can and cannot charge for, as well as specific fees where applicable. The guidance includes information on fees for:

  • Fit notes
  • Reports for insurance companies
  • Fees for copies of patients' medical records
  • Working for coroners
  • Debt recovery
  • Guidance on adoption and fostering fees
  • Who pays forensic physician fees?
  • What to say when your patients ask why GPs charge fees

The guidance also includes a helpful 'fee finder' with fees and guidance on the following:

  • Benefits and work for Atos
  • Certificates medico-legal
  • Certificates GPs cannot charge for
  • Certificates and reports - GP obligations 
  • Charging your patients
  • Child-minder health forms
  • Collaborative arrangements
  • Consultant contract - guidance on fee paying work
  • Coroners
  • Cremation 
  • Debt recovery
  • Driver Licensing (DVLA)
  • Emergency treatment under the Road Traffic Act
  • Family planning work
  • Firearms
  • First aid education
  • Fitness certificates
  • Forensic physicians
  • Gender recognition work
  • Government agreed fees for GPs
  • Government agreed fees for Consultants
  • GP contract - guidance on fee paying work
  • GP guidance on non-NHS report fees
  • Insurance work
  • Junior doctors contract - guidance for fee paying work
  • Legal Aid - victims of domestic abuse
  • Legal Aid - expert witness
  • Locum fees advice for locums and employers
  • Medical records - access and copying fees
  • Medico-legal fees
  • Mental health work
  • Post-mortem fees
  • Safeguarding adults and children - reports and case conferences
  • SAS doctors contract - guidance for fee paying work
  • Seafarer examinations and medical referee fees
  • Travel vaccinations
  • Tribunal appointments - medical members
  • Work which has no set fee
  • Why do GPs sometimes charge fees?

GPC guidance on charging patients

  • GPC guidance - 'Charging patients'  - FAQs on the following issues:
    • Charging the practice's own patients
    • Charging for non-essential services
    • Setting up a separate company to charge registered patients
    • Charging non-registered patients privately
    • Charging patients not registered with the practice for services they otherwise provide as NHS or non-NHS
    • Charging for Hepatitis B vaccinations in connection with travel
    • Charging for Hepatitis B vaccinations on the grounds of occupational health reasons
    • Charging for issuing a private prescription
    • Charging for dispensing a private prescription for ‘black/grey listed’ drugs
    • Selling Over the Counter drugs such as aspirin

Policies, procedures and related documents

Subscribers to the FPM website can access the following model documents which are available for download from the FPM policies and procedures library:

  • Fees & Charges leaflet (Patient Services index)
  • Medical certificates (provision of) protocol (Patient Services index)
  • Patients from abroad (entitlements to treatment) procedure - England (Patient Services index)
  • Patients from abroad (entitlements to treatment) procedure - Scotland (Patient Services index)
  • Patients from abroad (entitlements to treatment) procedure - Wales (Patient Services index)
  • Patients from abroad (entitlements to treatment) procedure - N.Ireland (Patient Services index)
  • Private Medical Certificates Procedure (Patient Services index)
  • Temporary residents (TRs) procedure (Patient Services index)

If you are not a member, have a look at the information about the benefits of membership and how to subscribe.

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