11 - Where no agreement applies

Suggested fees for services which can only be provided by the patient's own general practitioner or other attending doctor

Effective date: April 2008
Allowances: Mileage at 56.4p per mile
 
1. Certificates without examination
a) Straightforward certificates of fact - £15.00
b) More complex certificates - £25.00 to £53.00

  • private sick note (incapacity certificate), required by patient for presentation to an employer (except those that the doctor is obliged to provide for statutory sick pay (SSP) purposes)
  • accident/sickness insurance certificate - short certificate of incapacity without examination for patient to claim under accident/sickness insurance
  • freedom from infection certificate, eg for school, travel or employment
  • validation of private medical insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a 'pre-treatment’ form
  • school fees and holiday insurance certificates
  • health club – brief written report to certify that a patient is fit for exercise
2. Work in surgery
a) Extract from records - £56.50
b) Report on a pro forma, no examination (eg 20 minutes) - £75.75
c) Written report without examination, providing a detailed opinion and statement on the condition of the patient (eg 30 minutes) - £113.00
d) Comprehensive clinical examination including report, certificate, or completion of necessary forms (eg 45 minutes) - £169.50
  • accident/sickness insurance – to support a claim for payment of benefit under accident/sickness insurance policy
  • employment – for pre-employment or on an employee, requested by an employer
Note: The exception is for local authority employees which are covered by Fees guidance schedule 2 - go there and NHS employees which are covered by Fees guidance schedule 3 - go there.
  • fitness for education – to attend university, college, teacher and nurses training and, for dentists, completion of the form of Application for first registration of a dentist issued by the GDC
  • pharmaceutical trials – report on suitability of patient to take part as non-patient volunteer
  • private medical insurance: report on prospective subscriber to a private medical insurance (PMI) scheme (eg BUPA, PPP, WPA, etc)

© British Medical Association 2008

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