Chargeable Services

Practice Fees

Patient Fees

Type	Fee	How to pay?
Letters
Standard TWIMC	£30	Patient pays upfront
Detailed TWIMC	£40	Patient pays upfront
Complex TWIMC	£80	Patient pays upfront
PIP Appeal Letters	Free
Patient Summary printout	£10	Patient pays upfront
Medicals
HGV	£110	Patient pays at appointment
Police/Fire/Childminder	£89.50	Patient pays upfront
Subject Access Requests
First copy of medical record	Free
Request for copy of medical notes already requested	£50	Solicitor pays upfront or Patient pays upfront
Certificates
Holiday Cancellation Insurance	£30	Patient pays upfront
Fitness to fly in pregnancy	£40	Patient pays upfront

Other Fees

DWP
Universal Credit	Free
Jobseekers	Free
Council Tax Disregard	Free
Sure Start Maternity Grant	Free
DS1500/SR1	£17
PIP	£33.50
DWP Factual Report	£33.50
DVLA
Medical Questionnaire	£40
Medical Examination	£85
Medicals
Adoption/Foster	£78.44
Subject Access Requests
Army request	£50
Insurance Reports
AMRA	£104
Additional Information	£67.50

Step by Step Process for letter requests

You put your request in writing at the front desk in reception.
The receptionist will then take payment upfront. This is usually £30. The 30 days to complete the work starts now.
The request will go to our admin team who will then record on your medical record that we have your request.
The admin team will then look at who is the next GP to receive this admin work and then assign it to them.
The clinician then completes the work within the time frame and passes it back to our admin team
The admin team will contact you when the work is ready to be picked up.

Why is there a charge?

The cost of these letters and reports are not covered by the NHS. They are completed during the GP’s own time and as such there is a fee payable. All letters require the doctor to take time to review a patient’s medical records to ensure that the information provided is correct, then the doctor has to dictate the letter, and finally the admin team has to type and print it.

Whats the timescale?

Your GP receives a large number of requests on a daily basis, and private letters and reports do not take priority over NHS work. Therefore please allow up to 30 days for any requests to be fulfilled.

Please do not contact the practice within this time period unless you are providing additional information that is relevant to your request.

Requests are handled on a ‘first come, first serve’ basis.

Please note

We will not accept requests for ‘the doctor must write these exact words’. The GP will write what they know, supported by your medical record. Both the letter and the opinion they produce is final and you cannot request changes to be made. The GP has the right to refuse your request or provide alternative wording if they feel it is necessary.

If you insist on the GP changing your letter to suit what you think it should say, or if you want to dictate the contents, we will withdraw our offer to write the letter. Please remember, the doctor is not obliged to write a letter for you at all, as this is not an NHS contractual requirement as it classed as private work.

Page last reviewed: 19 March 2026
Page created: 01 October 2024