Private Fees

Three Chequers Medical Practice has decided to outsource our Non-NHS and medical reporting work to an NHS Digital accredited company called MediData. Most of the Non-NHS requests that you submit will be dealt with by MediData, however, there will be certain requests such as DVLA reports, Firearms Licencing and Medical examinations that will still need to be completed with GPs at the Practice.

From 1st July 2022 all Non-NHS requests will be received by the Patient Services Coordinator team. Your request will assessed before being sent to MediData to be processed and completed. You can submit your request by visiting any of our surgeries or email to complete a consent and request form. We take patient confidentiality very seriously, therefore we will not proceed with any requests from patients or third parties unless we have received a complete consent form.

What is eMR/MediData?

MediData is an NHS Digital accredited company who have developed a digital system called eMR, who will create digital, GDPR compliant medical reports. They have a team of GMC and NMC registered clinicians who have report writing experience who will fulfil your Non-NHS requests.

eMR helps GP Surgeries with data security, speed and efficiency.

eMR will create a report based on your Non-NHS request using your medical information which you will then be able to view before sharing it with the relevant third party.

MediData has worked hard to develop their NHS GP IT Futures accredited technology, eMR, which interfaces with our GP practice’s system to extract your medical record. This means you can receive a full copy of that information securely and share it with others as you wish, keeping our data safe.

If you wish to speak to a member of the MediData team regarding your medical report or any concerns you may have regarding your data, please contact the MediData directly on:

Please allow 28 days for all Non-NHS requests to be completed. If your request is complex and requires longer than one calendar month, you will be informed by the Practice.


Private Charges – Why do GPs charge fees? Your questions answered.

Isn't the NHS supposed to be free? 

The National Health Service provides most health care to most people free of charge, but there are exceptions: Prescription charges have existed since 1951, and there are a number of other services for which fees are charged. 

Sometimes the charge is made to cover some of the cost of treatment, for example, dental fees. In other cases it is because the service is not covered by the NHS, for example, medical reports for insurance companies, claim forms for referral for private care and other letters and forms which require the doctor to review the patient's medical records.


Non NHS work – Forms

Please download and return either by email to or to the Reception team at any of our surgeries.

Please return in person and ensure that you have brought two forms of identification (Photo ID and proof of address).


Surely the doctor is being paid anyway?

It is important to understand that GPs are not employed by the NHS. They are self employed, and they have to cover their costs - staff, buildings, heating, lighting etc - in the same way as any small business. The NHS pays the doctor for specific NHS work, but for non-NHS work the fee has to cover the doctor's costs.

What is covered by the NHS and what is not?

The government's contract with GPs covers medical services to NHS patients. In recent years, more and more organisations have been involving doctors in a whole range of non-medical work.

Examples of non-NHS services for which GPs can charge their NHS patients are:

  • Certain travel vaccinations
  • Private medical insurance reports
  • Holiday cancellation claim forms
  • Referral for private care forms
  • Letters requested by, or on behalf of, the patient

Examples of non-NHS services for which GPs can charge other institutions are:

  • Medical reports for an insurance company
  • Some reports for the DSS/Benefits Agency
  • Examinations of local authority employees

Why does it sometimes take my GP a long time to complete my form?

Time spent completing forms and preparing reports takes the GP away from the medical care of his/her patients. GPs have a very heavy workload and paperwork takes up an increasing amount of their time.

I only need the doctor's signature-what is the problem?

When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true.  Therefore, in order to complete even the simplest of forms, the doctor needs to check the patient's entire medical record.  Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police.

What will I be charged?

The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual practice to decide how much to charge, but the BMA produces lists of suggested fees for the Doctors to use as a guideline.

At Three Chequers Medical Practice we have a list of fees displayed at all our receptions, please speak to the Practice staff for more information.

In the past we have completed reports and forms before payment has been made, but have sadly found there to be too many occasions when the doctor has given up the time to do the work, but the fee has not been forthcoming. Therefore, for all reports that are completed by the Practice, the fee must be paid in advance - at the time of the request for the letter or the form to be completed is made or when the appointment for a medical is booked.        

The fees for reports produced by MediData are set by them based on BMA guidelines - all fees are approximate and the patient will be invoiced by the company directly once MediData have received the paperwork.


What can I do to help?

Not all documents need signature by a doctor.  For example, you could ask another person in a position of trust, who may be willing to sign a passport application free of charge (Teacher, Accountant, etc).

You can complete the form to the best of your ability in pencil, so the doctor just has to verify your entries against the information we hold.

Do not expect your GP to process forms overnight.