Non NHS Services
Urgent advice: Private Treatment / Surgery in the UK or Abroad
Planning on having private treatment/surgery in the UK or abroad?
Please be aware that the whole episode of the treatment should be provided by the private provider, i.e. blood tests and other tests, suture removal, dressing changes, routine wound check, prescribing during your episode of private treatment, etc., and the Practice should not be involved in any aspects of this episode of treatment, with the exception of emergency care relating to the treatment.
It is also the private providers responsibility to issue a Fit Note covering the entire anticipated period off work, but if any longer time off is then required when you are no longer under the care of the provider then this would be the practice responsibility.
Non-urgent advice: Private Work Fees
Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:
- Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
- Insurance claim forms
- Private Prescriptions for taking medication abroad - eg: Malaria and Norethisterone
- Private sick notes
- Vaccination certificate
- Fee for treatment following a Road Traffic Accident (see below)
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
Non-urgent advice: Fees for Emergency Treatment under Road Traffic Accident act 1988
Fees for emergency treatment in a road traffic accident
Under the Road Traffic Act 1988, the first doctor to provide emergency treatment to the victim of a road traffic accident is generally entitled to charge a fee:
- A fee may be levied in respect of each person treated
- Mileage is also payable in excess of two miles
The ability to levy a fee under S158 of the Road Traffic Act has been limited to claims by doctors not working in NHS hospitals, as the cost of hospital treatment is recovered from insurers directly by the NHS.
The fee can be levied even if the person driving the vehicle at the time of the accident is on the GP's NHS list.
This fee is within primary legislation and can only be changed by act of parliament, unlike other fees which are determined by regulation and negotiation.
| Allowance | Fee |
|---|---|
| For each person treated | £21.30 |
| Mileage rate per mile or part mile (over 2 miles) | 41 pence |
What is defined as emergency treatment?
S158(1) of the Act defines 'emergency treatment' as 'medical or surgical treatment or examination that is immediately required as a result of bodily injury (including fatal injury) caused by, or arising out of, the use of a motor vehicle on a road'.
The Road Traffic Act is silent as to what ‘immediately required’ is defined as.
Some injuries do not warrant a visit to an emergency department but do warrant the attention of the GP practice.
Under such circumstances where a claim is to be made, the BMA believes that the patient should be seen within one working day.
Our legal advice is that treatment provided at the GP practice can be included in the definition of 'emergency treatment' and therefore attract a fee under the Road Traffic Act.
The person driving the vehicle is responsible for meeting the doctor's professional fee for themselves, their passengers or anyone injured by their vehicle.
All UK motor insurance policies cover such fees and payment of such fees does not constitute any admission of liability.
What is the process to recover my fee?
- Either a verbal or written request should be made to the person who was driving the vehicle at the time of the accident.
- This request must be served upon that person within seven days from when emergency treatment was given.
- It must be signed by the claimant (doctor), stating his or her name and address, the circumstances in which emergency treatment was effected, and confirm that the claimant was the first person to give emergency assistance.
- The request may be served by delivering it to the person using the vehicle or by recorded delivery to the usual or last known address.
- If you can't get the name and address of the person using the vehicle, contact the appropriate chief constable (in practice the 'dealing police officer').
- The fees payable under the Act are recoverable by court proceedings as if they were a simple contract of debt due.
Non-urgent advice: Guidance re: DWP Medical (factual) reports:
The following extract and attached link is taken from gov.uk website in regards to GPs completing Medical Reports requested by DWP for PIP / UC / ESA / DLA etc
3.2 Information provision
3.2.1 Consent
DWP obtain consent from the patient to approach you for the release of clinical information. Therefore you can rely on an assurance from DWP or a healthcare professional working for Atos Healthcare, Centre for Health and Disability Assessments (CHDA) or Capita Health and Wellbeing that consent has been provided and there is no requirement for you to ask to see a copy of the patient’s consent.
In addition, the Access to Medical Reports Act 1988 does not apply to reports for benefit purposes and you do not have to discuss with or show the information to the patient before you send it.
3.2.2 Release of information
Information (including medical reports) will be made available to patients on request or if they appeal against an unfavourable benefit entitlement decision. Harmful information is the only exception.
Page created: 23 September 2021