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Non-NHS Services

NON-NHS OR PRIVATE FEES

Most of the services offered by the surgery are free under the NHS. Some services are not covered under the NHS and for these your GP, like other professionals (e.g Lawyers) charges a fee.

The fee will reflect both the doctor's time to carry out the service and the doctor's professional opinion. It may also include the cost of nursing or secretarial support, stationary and consumables.

Some figures are agreed with official bodies, others suggested by the British Medical Association (BMA) and centrally negotiated. All figures are correct as of 12 March 2008.  More fees are now negotiable in 2006/07.

If you have a form for completion by a Doctor, please speak to the reception staff.  Please do not give it direct to a doctor.

APPOINTMENTS FOR MEDICALS

If you have been asked to make an appointment for a private medical, this will require a 30 minutes slot outside of normal surgery hours.  Dr Mohan, Dr Jetty, Dr Barrett, Dr Matthews, Dr Jackson & Dr Kapma will be available to undertake private medical examinations - please state if you have a preferred GP in mind or if do not mind which GP you are allocated to.

Please inform the receptionist that you wish to have a medical. Please remember to bring any documentation you have with you. Also please note that there may be a charge for some medicals performed in the surgery. Please check with the receptionist.

SERVICES OFFERED:

Insurance Reports, HGV Medicals, employment, Private Occupational Health Examinations, Medico-legal Examinations & Reports.

FEES:

These are our current fees, some are a sliding scale dependent on work involved.

Click the Links to read about a private service and its fee in more detail or for a clearer explanation.  Most fees are payable by Insurance Companies or employers and NOT the patient:

Correct as of 11 March 2008

Please remember that these rates take into account the time and responsibility that the doctor takes in completing them.  Please allow up to 2 weeks for certain forms and reports to be completed.

They may be reduced in exceptional circumstances at the doctors discretion.

Unfortunately, in line with Local Medical Committee (LMC) Guidance, due to an increase in workload and lack of resources we are no longer able to offer the following services:

-GPs no longer provide jurors with a certificate to excuse from jury service.  The Court deal with this.  There have been cases where a GP has been called to attend Court to explain a certificate issued excusing a patient from attending Court.

-GPs no longer support applications for concessionary bus passes.

-GPs no longer provide certificates to explain short term absence from a court appearance, attendance centres, community service or probation.  Ask your Solicitor or Probation Officer to make a formal request directly to your GP with your signed, informed consent.

-In general GPs no longer write "To Whom it May Concern" letters supporting applications for a move of house on medical grounds.  Social Services, Coventry City Council or the Housing Association should write directly to your GP with your signed, informed consent if they want this information.

-In general we no longer give certificates for fitness to attend exercise programmes.  If your fitness centre demands this then they should write directly to your GP with your signed, informed consent.

-We no longer give authority for staff at schools to administer drugs to children over whom we have no control.  Your own word should be adequate.  If organisations want written authorisation then they should write directly to your GP with your parental signed, informed consent.

-We no longer sign Shotgun Licence Certificates.  Seek advice from your Professional Group/Club.

Fee-paying Foreign Visitors

Any visitor from abroad who is here on holiday, whether or not they have previously been a UK resident, must pay for routine medical care (unless covered by the reciprocal agreement for European Economic Area patients). They will be given a receipt and the cost is reclaimable on the patient’s travel insurance when they return home.

If treatment is sought for a condition that needs prompt attention and the condition has arisen since arrival in the UK the treatment may be considered as immediately necessary and if the patient is from the European Economic Area, or some others, there is no charge.

If the treatment at a GP surgery or hospital is considered by the healthcare professional to be an emergency then the treatment is free.

For all other issues see documents from Dept of Health website
www.dh.gov.uk/policyandguidance

Explanatory notes:

1. During the first 7 days of sickness you can self-certify that you are ill, using a form from your employer or form SC2 from the Inland Revenue.

If you employer requires a certificate from the doctor during this period, we are able to provide a private one, but there is a fee of £14.50. Please ask the receptionist for more details.

2. Any doctor can write a private prescription for a patient if they feel it is clinically appropriate and they are happy to take responsibility for that prescribing decision. Under the NHS regulations, a GP or his deputy can write a private prescription for a patient but cannot charge the patient for writing a private prescription if the patient is registered for NHS care with that GP or any other GP in the same practice.

The only exceptions to this rule are when an NHS GP writes either a private prescription for drugs that are requested by the patient “just in case” of the onset of illness while outside the UK, or else when a private prescription is required for the prevention (chemoprophylaxis) of malaria.


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17. Private Immunisations

The National Health Service (General Medical Services Contracts) Regulations 2004
Schedule 5 Regulation 24 states that a fee can be charged for treatment consisting of an immunisation for which no remuneration is payable by the Primary Care Trust and which is requested in connection with travel abroad.

18. Employment Medical

Firstly it is the employer’s duty under Health and Safety Legislation to assess whether the provision of the Hepatitis B vaccination is necessary, therefore a doctor does not have a duty under paragraph 15 4(a) to conduct an examination to determine whether the vaccination is required. There is not an obligation under the regulations governing GP contracts to administer such vaccinations for occupational reasons. Patients should be referred to the Employer’s Occupational Health Department.

The practice can choose to enter into a private contract with an employer to provide this service either to a group of employees or for a single employee. The practice will consider carefully the nature of the service required for the employees e.g. whether a full occupational health assessment would be necessary. The patients employer requesting/instructing the occupational health service will be invoiced.

Should the patients employer Schedule 5 of the GMS regulations allows a practice to accept a fee:
‘from any body, employer or school for a routine medical examination of persons for whose welfare the body, employer or school is responsible, or an examination of such persons for the purpose of advising the body, employer or school of any administrative action they might take.’