Our practice also offers services which are not funded by the NHS and are paid by the patient. These include:
- Insurance claim forms
- Non-NHS vaccinations
- Prescription for taking medication abroad
- Private sick notes
- Pre-employment and HGV medicals
- Vaccination certificates
St. Clement’s Surgery: NHS and Private Care
At St. Clement’s Surgery, we are committed to providing comprehensive healthcare to all our registered NHS patients. We understand that some patients may also choose to access private healthcare, and we aim to navigate this in line with national guidance to ensure clear separation between NHS and private care.
Our approach is guided by the NHS “principle of separation” and the General Medical Services (GMS) Regulations, which both clearly state that NHS resources should not be used to subsidise private care.
The British Medical Association (BMA) provides valuable guidance on this matter. You can find more detailed information on their website: BMA – General practice responsibility in responding to private healthcare
Key points regarding the division of NHS and Private Work at St. Clement’s Surgery:
- Shared Care with Private Providers: The BMA guidance advises against “shared care” with private providers where NHS GPs are expected to deliver parts of a private episode of care, particularly for treatments not available on the NHS or where a patient has bypassed NHS waiting lists by paying privately. Such patients are free to arrange shared care with a private GP and their private specialist, and their position on NHS waiting lists will remain unaffected.
- Clinical Referrals: A standard clinical referral letter that a GP would make to either an NHS or private provider is considered part of NHS “treatment” and is therefore not chargeable.
- Administrative Documents and Reports for Private Providers: The GMS Regulations allow NHS GPs to charge for the completion of medical reports and administrative documents (e.g., specific forms required by a private provider that go beyond a standard clinical referral letter). If a private provider expects the surgery to fill out additional forms or provide extensive administrative support beyond routine clinical referrals, this may be viewed as non-NHS work, and a fee may be charged to the private company for this service.
- Patient’s Right to NHS Care: A patient’s decision to access private healthcare for a specific condition does not affect their entitlement to receive other NHS care for which they meet the commissioning criteria.
We encourage patients considering private healthcare to discuss their plans with their private provider regarding how their ongoing care, including any necessary tests, prescriptions, or follow-up, will be managed and funded.
Our priority remains to provide high-quality, equitable NHS care to all our registered patients. Thank you for your understanding.
| Non-NHS Services Description | Total Fee |
| Certificates/Forms/Letters | |
| GP Letter | £30-£120 (time dependant) |
| Finess to travel certificate | £50 |
| Fitness to attend gym/activity certificate | £30 |
| Private sick cert | £30 |
| Shotgun licence | £50 |
| Holiday cancellation form | £50 |
| Other straightforward certificates | £30 |
| Camp America/voluntary work abroad forms | £30 |
| School fees Insurance claim form | £50 |
| OFSTED form | £100 |
| CICA | £50 |
| Buss pass concession forms | £30 |
| Cremation Document fees | £82 |
| Police Questionnaire | £30 |
| DWP DS1500 | £20 |
| Army Questionnaire | £50 |
| Medicals and Reports | |
| GPR Insurance Report | £30-£120 (time dependant) |
| GPR Supplementary Reports/Medical information | £30-£120 (time dependant) |
| Medicals and Reports (HGV, Taxi, LGV, PSV, Elderly Drivers, Minibus) | £100 |
| Reports to DVLA (No exam) | £48 |
| Reports to DVLA (with exam) | £100 |
| Any report requiring face to face appointment | £100 |
| Medical report requested from Insurance company | Will be on report request or £30-£120 time dependant |
| Private | |
| Power of Attorney no solicitor – no visit | £100 |
| Power of Attorney no solicitor – with visit | £150 |
| Private Consultation (10 mins) | £50 |
| Private telephone consultation | £50 |
| Private blood pressure | £15 |
| Private blood test | £25 plus lab charge |
| Private prescription | £20 |
Disclaimer:- These prices above are based on basic time to complete and produce, more complex forms may incur additional charges. St Clements Surgery retains the right to amend these prices at any time. Alterations and adjustments may incur additional costs. All private work is completed outside standard GMS Contracted NHS working times, as such completion times may vary depending on workloads.