Access to records under Data Protection Act Who pays Charge
Computerised records Patient up to £10.00
Manual records or combination of manual/computer records Patient/Solicitor up to £50.00
40 p per page
Administration Charge for sending by recorded delivery Patient /Solicitor £8.00
Adoption and Fostering Who pays Charge
Adoption fees normally paid by parent, fostering by NHS, but sometimes paid by  the adoption/fostering  agency
Form IHA Initial Health Assessment   £58.12
Forms M, B Obstetric Neonatal reports   £44.95
Forms C, D, YP or AME Full examination of child   £97.91
Form AH Health assessment, Prospective carer   £73.86
Form AH2 Update report, parent/carer   £24.36
Childminder (Ofsted health declaration form) Patient/Employer £84.50

Examination of children in /for care-first exam

Subsequent exam




Freedom from infection for children for care   24.36
Attendance allowance/disability living allowance Who pays Charge
GP factual report DWP £33.50
DS1500 DWP £17.70
Blue Badge scheme Who pays Charge
Report only Local authority £25.15
Examination and report Local authority £39.22
Certificates and forms Who pays Charge
Criminal injuries compensation report on pro forma Criminal Injuries Authority £38.00
Freedom from infection certificate Patient £15.00
Letter re fitness to exercise, travel etc Patient £25.00
Passport form/photograph/Care Commission report Patient £25.00
Private Sick Note (any sick note within 7 days is private) Patient £15.00
Provident Association claim form (e.g. BUPA/PPP) Patient £25.00
School fees insurance claim form Patient £25.00
Fitness to attend state school Local authority £25.15
Fitness for sport, school, university, etc Patient £70.00
Health Certificate to attend university, college, teacher and nurses training Patient/Employer £70.00
Dentists, completion of Application for first registration of a dentist (GDC) Patient £70.00
Driving Who pays Charge
Full medical and report, HGV, PSV Patient £110.00
Report no examination (20 to 30 mins) Patient £60.00
Extract from records (15 mins) Patient £56.00
Report to DVLA with examination DVLA £40.00
Report to DVLA No examination DVLA £23.00
Seat belt exemption Patient £70.00
Taxi driver and elderly driver certificates Patient £70.00
Driving licence photograph Patient £25.00
PCV/LGV driver Patient/Employer £90.50
Local Authority PCV/LGV driver Local authority £90.50
Employment - Private Who pays Charge
Full medical with report or certificate (private/insurance - 45mins) Patient/Employer/Insurance £169.50
Report without examination (private/insurance -30mins) Patient/Employer/Insurance £109.50
Report on Pro-forma (20mins) Patient/Employer/Insurance £73.50
Extract from records (no examination or opinion -15 min) Employer £55.00
Certificate of Incapacity Patient/Insurance £25.00
Employment - Local Authority/Police/NHS Who pays Charge
Police/Local Authority medical exam, certificate, opinion Local Authority £109.50
Local Authority/Police: report without examination (30 mins) Local Authority £74.50
Extract from records (no examination or opinion -15 min) Local Authority £37.50
LA/Police Medical for higher grade appointment Local Authority £109.50
NHS Employee Prospective Local NHS Body £39.22
Fireman's Medical Examination Fire Master £109.50
Fireman's Medical Examination for Continuation of part time FM Fire Master £109.50
Extract from records Who pays Charge
Private (15 mins) Employer £55.00
Government /Local authority   £33.00
Fitness for sport, school, university, etc Who pays Charge
Examination and report Patient/Insurance company £132.00
Extract from records 15mins Patient/Insurance company £55.00
Short Certificate of Incapacity Patient/Insurance company £15.00
 Local Authority Who pays Charge
Work in Surgery 2 ½ to 31/2 hours Local Authority 402.50
Work in Surgery Short session 1 hour Local Authority 134.00
Work out of Surgery 2 ½ to 31/2 hours Local Authority 201.50
Work out of Surgery short session 1 hour Local Authority 67.50
Lecture to the public Local Authority 58.56
Emergency Visits 9AM to 8PM Local Authority 25.68
Emergency Visits 8PM  to 9AM Local Authority 52.06
Council tax Certificate of severe impairment   Free
Insurance (Sickness) Who pays Charge
Examination and report Insurance Company/Patient £169.10
Extract from records (15 mins) Insurance Company/Patient £56.00
Certificate of Incapacity Insurance Company/Patient £15.00
Insurance Claim form completion Patient £26.00
Insurance (Accident) Who pays Charge
Examination and report Insurance Company/Patient £148.00
Report without examination Insurance Company/Patient £98.50
Report on pro forma (20 mins) Insurance Company/Patient £66.00
Extract from records Insurance Company/Patient £49.00
Short certificate Insurance Company/Patient £14.50
Life Assurance Proposal Who pays Charge
GP examination own patient Insurance Company £92.50
GP report no examination Insurance Company £84.00
GP supplementary report Insurance Company £21.50
BUPA, PPP, WPA, Private medical insurance (PMI) Who pays Charge
 report on prospective subscriber PMI – Extract from records Insurance Company 56.00
Completion of Form Insurance Company 113.50
Full medical exam and report Insurance Company 169.50
Mental Capacity Certificate Who pays Charge
With examination Solicitor/Guardian £110.50
No examination Solicitor/Guardian £55.00
Mental Health Psychiatric Examination- non specialist fee Local Authority £53.76
Private Medical Examinations and Reports Who pays Charge
Full examination with report or certificate Patient/Employer/Insurance £169.10
Government Department Government Department £60.00
Report no examination
Private (30 mins) Patient/Employer/Insurance £113.00
Report on Pro-forma (20mins) Patient/Employer/Insurance £70.00
Extract from records
Private (15 mins) Patient/Employer/Insurance £56.00
Travel Abroad Who pays Charge
Fitness to travel certificate Patient £27.00
Prescription for drugs required solely for purpose e.g. Malaria tab Patient £13.50
Vaccination certificate Patient £16.50
Holiday cancellation simple certificate Insurance Company/Patient £15.00
Holiday cancellation insurance claim Insurance Company/Patient £26.00
Simple letter detailing prescription medicines Patient £15.00
Treasury Rates
Extract from records   42.00
Report written (eg 45 mins)   128.00
Medical examination and report/complex
written report and opinion (eg 60 mins)
Sessional fee (eg 3 hrs) .   339.50
Treasury rate  for Work in surgery
Extract from records   37.50
Report on pro forma (eg 20 mins)   49.00
Report written (eg 30 mins)   74.50
Medical examination and report in surgery (eg 45 mins)   109.50
Session (eg 3 hours)   442.50

Treasury rates are applicable to : AXA/PPP Healthcare Occupational Health Services Ltd, Department for Education and Skills (DfES), Department for Work and Pensions (Disability Support Division), Department of Trade and Industry (Coal Liabilities), Highlands and Islands Airport uthority (HIA), NHS Pensions Agency, Northern Ireland Civil Service Occupational Health Service


VACCINATION  CHARGES (Occupational & Travel) see note below

Hepatitis A - first injection (2 injection course) No Charge
Hepatitis A – second/booster injections administration charge No Charge
Hepatitis A Junior – first injection (2 injection course) No Charge
Hepatitis A Junior – second/booster injections No Charge
Hepatitis B (3 injections per course) £126.00/course
Japanese B Encephalitis (3 injections per course) £45.00/injection
Meningitis A & C (1 injection) £55.00
Cholera £48.00/inj
Rabies (3 injections per course) £45.00/injection
Tick Borne Encephalitis (3 injections per course) £70.00/injection
Influenza (Flu jab) £20
Pneumonia Jab £ 30.00
Yellow Fever (1 injection) £ 48.00 (Not done at present)

Notes :

Some Travel Vaccines are provided free of cost under the NHS. Some are not and is charged privately.

Hepatitis B-3 injections per course - (charge for travel and Private employers only) – includes pre and post testing – if more injections are needed charged extra £ 40 per injection. ask for more information and "forms" for the employer at reception.



Private consultation, overseas visitors Patient £35.00
Private Home Visit + mileage at 0.60p per mile Patient £110.00
Blood tests Who pays Charge
Blood group test Patient £36.00
Diagnostic (not including lab charges) Patient £17.00
Paternity Testing 1, 2 or 3 samples Solicitor £37.50/75/90



Removal of wart superficial mole etc £90.00 (+histology charges)
Excision of moles lumps etc £250.00 per lesion (all inclusive)
Wrinkle reduction injections Crows feet/frown lines £210 per area (all inclusive)
Vasectomy No Scalpel Version £400.00 (all inclusive)
Carpal Tunnel Decompression £450.00 (all inclusive)
Trigger finger release £250.00 (all inclusive)
Dupuytren’s Contracture operation £350.00 (all inclusive)
Removal of Ganglion £350.00
Cryotherapy of warts, verrucca etc £80.00
Epidural Injection (sciatic pain) £105.00 (all inclusive)
Joint Injection for arthritis £ 55.00 (£5.00 Medicines)
Prolotherapy injection £300 per course
Implant Contraception  £ 80.00 (cost of Implant £100)
Implant Removal   £50
Intra Uterine coil £90.00  (coil 15 to 100)
Mirena coil £190.00
Coil check  £25
Cervical Smear  £50.00  (+lab £50)

These are applicable to clients who are NOT registered patients of St Lukes Surgery. No private consultations or private operations are offered to Registered patients. The cost exclude cost of medicines, laboratory/histology, and any implant/coil (Approximate cost given, but can be obtained from own doctor on prescription)