Why do GP’s charge fees?
Your questions answered
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 isn’t covered by the NHS, for example, medical reports for insurance companies, claims on private health insurance and other letters and forms which require the doctor to review the patient’s medical records.
Reports based on information held by doctors can be useful and valid. However, organisations or individuals sometimes request reports based on assumptions that doctors hold more information than they do, to confirm what patients have already told them, or in the mistaken belief that by doing so they can transfer responsibility for the outcome of the report to the medical practitioner. It should be remembered that doctors are not obliged to provide reports outside of their legal and contractual responsibilities.
It is important to understand that GP’s 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 the fee has to cover the doctor’s costs
What is covered by the NHS and what is not?
The government’s contract with GP’s 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. Sometimes the only reason that GP’s are asked is because they are in a position of trust in the community, or because an insurance company or employer wants to be sure that information provided is true and accurate
Examples of non-NHS services for which GP’s can charge their patients
- Certain travel vaccinations
- Private medical insurance reports
- Holiday cancellation forms
- Referral for private care forms
- Letters requested by or on behalf of, the patient
- In certain instances fitness to work forms
Examples of non-NHS services for which GP’s 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. Most GP’s have a very heavy workload- the majority of GP’s work up to 60 hours a week and paperwork takes up an increasing amount of their time. In addition non-NHS work must be undertaken outside of NHS contracted 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 record. Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police