This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Current fees:

Why do GPs charge fees?  Isn't the NHS supposed to be free?

The NHS provides most health care to most people free of charge, but there are exceptions.  It is important to understand that GP’s are not employed by the NHS; they are self-employed, and they have to cover their costs – staff, buildings, etc – in the same way as any business.  The NHS covers costs for NHS work, but for non-NHS work and the fee has to cover the doctor’s costs. 


In recent years more and more organisations have been involving doctors in a whole range of non-medical work.  Examples of non-NHS work are short letters for employers, record extracts, private fit notes etc. (full list of non-NHS work and charges detailed below). 

I only need a doctor’s signature – what is the problem?

When a doctor signs a medical certificate or completes a report or letter, 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. 


Private letters may take up to 5 working days to be done.

Please see the list below for details of fees that the Westgate Practice charge:



Passport form

No Longer Provided

Holiday cancellation letter


Holiday cancellation exam


Immunisation (giving fee – non-NHS)


Fitness to travel letter


Fitness to travel exam


OFSTED child minder forms


Yellow fever certificate (Westgate Patient)


Yellow fever certificate (Non-Westgate Patient)


Short letter – for employers


Record extract – for employers


Pre-employment medical


Private fit note


Freedom from infection letter


Elderly driver/diabetic medical


HGV/racing driver medical


Diabetic letter


Fitness for sports medical


Fitness for sports record extract


Photocopy of medical records

(Hard copy records or hard copy & computerised)

£10.00 administration+ 50p per page + postage: to a total maximum of £50.00

Copy of medical records

(Computerised only)

£10.00 + postage

Lasting power of attorney

£105.00 - in surgery

£150.00 - home visit

Overseas visitors

£60.00 – in surgery

£100.00 – home visit

Firearms/Shotgun Licence Report


Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website