Last updated:

When can I set my own fee?

The types of work listed below can be carried out by any doctor who is not the patient's own doctor.


Types of work:

  • Medico-legal (not covered in our existing medico-legal guidance)
  • Statements of fact
  • Signing photo card driving licences
  • Attendance at airports
  • Attendance at patient’s request at a police station
  • Professional attendance at private events (including sporting events)
  • Lectures e.g. for a college of further education
  • Removal of a pacemaker prior to disposal of a body



  • Court exemption: from attending as a witness on medical grounds
  • Drivers or pilots: full medical examination and completion of forms for vocational drivers licence (large goods vehicles and passenger carrying vehicles, taxi etc.
  • Fitness to drive for insurance purposes (elderly driver, racing driver etc).
  • Aviation licence (pilots)
  • Fitness for sport
  • Patients for self-referral overseas
  • Seat belt exemption



  • Private prescription for private patient, or drugs required for travel abroad (private or NHS patient)
  • Abortion (confirmatory) certificate; second certificate under the Abortion Act 1967 in cases where the patient is not on the GP's NHS list
  • Vaccination and immunisation for travel abroad