Fees for part-time medical services

Public health medicine and community health
Fees may be accepted for services outside the doctor’s normal duties which do not interfere with their NHS commitments, eg:

  • work as a medical referee (or deputy) to a cremation authority and signing confirmatory cremation certificates
  • medical examinations in relation to staff health schemes of local authorities and to driving licences
  • lectures to other than NHS staff
  • medical advice in a specialised field of communicable disease control, eg for membership of a departmental panel for infectious disease
  • work for water companies, including medical examinations in relation to staff health schemes
  • attendance as a witness in court (other than in the course of an officer’s normal duties)
  • medical examinations and reports for commercial purposes, eg certificates of hygiene on goods to be exported or reports for insurance companies
  • advice to bodies, including NHS authorities other than the doctor’s employing authority, on matters on which the doctor is acknowledged to be an expert
  • examinations and recommendations made under Part II of the Mental Health Act 1983 (see note below).
‘Collaborative arrangements’ - Doctors in public health medicine or community health may not accept fees from a local or public authority, or from an NHS authority, for the provision of advice or services under the ‘collaborative arrangements'.

Note: In Scotland: Part V of the Mental Health (Scotland) Act 1984.

© British Medical Association 2008

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