What to charge your patients: guide for GPs

A table of certificates you should charge registered patients for, and approximations of how long each task should take.

Location: UK
Audience: GPs Practice managers
Updated: Wednesday 1 June 2022
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Certificates Approx. Time
Straightforward certificates of fact 15 mins
More complex certificates Approx. Time
Private sick note (incapacity certificate) required by patient
for presentation to an employer except for those which
the doctor is obliged to provide for statutory sick pay purposes
15-30 mins
Accident or sickness insurance certificate - short certificate of
incapacity without examination for patient to claim under
accident or sickness insurance
15-30 mins
Freedom from infection certificate, eg for school, travel or employment 15-30 mins
Validation of private medical insurance (PMI) claim form,
to support a claim for benefit in connection
with private medical insurance, or completion of
a pre-treatment form
15-30 mins
Health club brief written report to certify that a patient is fit for exercise 15-30 mins
School fees and holiday insurance certificates 15-30 mins
Work in surgery Approx. Time
Extract from records 20 mins
Report on a pro forma, no examination (eg 20 minutes) 20-30 mins
Written report without examination, providing a detailed opinion and statement on the condition of the patient (eg 30 minutes) 30 mins

This could include:

  • accident or sickness insurance to support a claim for payment of benefit under accident or sickness insurance policy
  • employment report pre-employment, or report on an employee, requested by an employer
  • fitness for education to attend university, college, teacher and nurses training and, for dentists, completion of the form of application for first registration of a dentist issued by the GDC
  • pharmaceutical trials report on suitability of patient to take part as non-patient volunteer
  • private medical insurance: report on prospective subscriber to a private medical insurance (PMI) scheme (eg BUPA, PPP, WPA, etc).


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