Some services for which a non-NHS fee is applicable will be payable by patients themselves and some services will be payable by other organisations, e.g. insurance companies, local authorities, and solicitors, etc. (Where information is requested from third parties, this will of course not be released without prior consent by the patient). A full list of all fees and charges is included below but some examples would be:

Services for which a fee is payable by patients are:

• employment, HGV, and taxi driver medical examinations
• accident and sickness certificates for insurance purposes
• school fee and holiday insurance certificates
• reports for health clubs to certify patients are fit to exercise

Services for which a fee is payable by other authorities are:

• life assurance and income protection reports for insurance companies
• reports for the Department of Work and Pensions (DWP)
• medical reports for local authorities in connection with adoption and fostering

Patients should note that not all documents need the signature of a doctor, for example passport applications, where you can ask another person in a position of trust to sign such documents free of charge. Similarly, not all forms need to be completed by a doctor, for example bus pass and blue badge forms – these can be completed and submitted by patients themselves and only if the application was refused might the patient want to ask the doctor to provide additional information to support their application.