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Fees / Charges

Blue Badge Scheme

The Blue Badge Scheme enables people with a disability to park in disabled parking spaces. It is for people with a severe mobility problem. It also applies to those who are registered blind, who have severe disabilities in their upper limbs, and children under 3 years with specific medical...

Certification - Bus Pass

In England, individuals can apply for a bus pass for free travel when they reach the female state pension age, whether they are male or female. The 'eligible disabled' (as described in the list below) may also apply for a pass, and patients may attend with forms for the doctor to sign to prove...

Certification - Chargeable

In 2001 the Government recognised that GPs were spending too much time doing unnecessary paperwork. After much consideration it produced a consultation document called Making A Difference: Reducing General Practitioner Paperwork However, GPs still receive many requests for reports from...

Certification - Child Performers

Most children taking part in non-commercial performances do not require a licence to perform and, even if a licence is required for commercial work, the Local Education Authority may have discretion as to whether a medical certificate is required. In this instance, a child is considered to...

Certification - Continuing Healthcare

NHS continuing healthcare (CHC) is a package of care provided outside of hospital. It is arranged and funded by Clinical Commissioning Groups (CCGs) for people aged 18 years and over who have significant ongoing healthcare needs and have been assessed as having a 'primary health need'. People...

Certification - Deaths

The LMC receives many queries on the subject of death certification, cremation and Coronial regulations. The Covid-19 pandemic and associated emergency legislation have added a further level of confusion. We have summarised guidance relating to Death Certification and Cremation during the...

Certification - Dentists

Dentists sometimes discover that their patient suffers from a medical condition which may influence the treatment they are proposing to give. In this event they would generally require medical advice from the GP in order to treat the patient safely. It is not generally necessary for the GP to...

Certification - Jury Service

Medical certificates are not normally required when someone feels they have grounds to be excused from Jury Service. However, the summoning officer will occasionally request one, and we would recommend that you produce a letter stating only the facts for the summoning officer to consider and...

Certification - Low Calorie Diets

Patients often approach GPs with forms to fill out before they can embark on some low calorie diets. You may find this information useful: You do not have to fill out these forms You can charge a reasonable fee for filling out the form Much of the data, weight and BP is part of normal GMS...

Certification - Non Chargeable

The following is a list of obligations relating to Certification by GPs: GPs are obliged to provide data essential for a clinical referral free of charge. A GP has a statutory duty to supply a registered patient, free of charge, with any of the prescribed certificates set out in Schedule 4 of...

Certification - Parachute Jumps

The profession is divided. Some GPs say 'don't touch them with a barge pole' and others do them and charge appropriately. Considerations: you are not obliged to provide this service if you feel competent to sign these forms you may and you may charge (even if 'it's for charity' ) a small study...

Certification - Patients Claiming Benefits

Practices are not obliged, either by statute or contract, to complete reports requested by organizations assisting people with their claims for benefit. Practices may choose to do so and may charge a fee. Welfare Rights and CAB usually say that they are not in a position to pay a fee. If a...

Certification - SCUBA

What should you do if a patient wants you to confirm their suitability to do SCUBA diving? This is not part of GMS so you do not have to provide this service to your patients. You may do so if you feel competent to make this assessment. If you do this work you must consider how you resource...

Certification - Shared Lives

Shared Lives is a national idea rolled out to Local Authorities to encourage citizens to help share the lives of vulnerable adults. It is an excellent scheme that encourages people within communities to help vulnerable adults and get paid, while saving the state significant sums of...

Certification - Sickness

Sickness of Less Than 7 days You are not obliged to provide a 'sick certificate' for your patients for periods of less than seven days. In these circumstances patients should self certify as below. We have produced a letter for your patient to take to his/her employer to explain this....

Community Pharmacy - A Guide for GPs

This is an excellent summary of how Community Pharmacies work, the funding streams and contracting arrangements and the requirements for being a community pharmacist (training, qualification, control and regulation) written by PSNC, NHS employers and the BMA. The document, together with further...

Covid-19 Fitness to Fly & Covid Certificates

Fitness to Fly Fitness to fly certificates are not part of GMS contractual work and so GPs are under no obligation to issue them. If you do decide to issue a certificate then you can charge a private fee. The BMA advises caution when considering undertaking this sort of work as there can be...

Duration of Prescriptions and 7 day Prescribing

This is a recurrent issue and something that we are contacted about at the office on a regular basis with GPs and practices asking whether or not there is any obligation to provide prescriptions for seven days of medication. The answer is no - but never say never. There will be times when a...

Employment Support Allowance (ESA)

Employment Support Allowance (ESA) 113 forms (replacing IB113) No fee is payable for an ESA113 and you are obliged to provide the information. For more information please see Healthcare professionals: information from DWP -...

GP Trainee - Travel Expenses

GP trainees who use their cars to conduct home visits during their placements are entitled to claim mileage expenses. The journey to and from work (up to 10 miles in each direction) can also be claimed but only if a home visit is made that day. They are able to claim this allowance through the...

Incapacity Benefit Appeals

A patient has asked for a report to support his appeal after having his Incapacity Benefit withdrawn. Does the GP have to provide a report? No. Under their NHS contract there is no requirement for GPs to provide reports or offer an opinion on incapacity for work to anyone else unless requested...

Infectious Diseases Notification

The Health Protection (Notification) Regulations 2010 - updating notification of infectious diseases New regulations (Statutory Notification of Infectious Diseases) came into force on the 6th April 2010. Notification of infectious disease by doctors has been a bedrock of health protection...

Out of Hours Session and Medical Defence Cover Apr 2011

Not all MDOs are the same. It is vital that every doctor doing Out of Hours checks their Medical Defence Organisation policy and subscription to ensure they are covered for the work they contract to do. For example, it has been brought to our attention that the MPS has changed its defence cover...

Personal Administration Fees

Under the NHS regulations, Area Teams must make personal administration payments to all non-dispensing GMS contractors for the following; vaccines, anaesthetics and injections (with the exception of vaccines supplied for the childhood immunisation programme) diagnostic reagents for the Dick and...

Prescribing and Dispensing

New Pharmaceutical Regulations came into force on 1st September 2012, and replaces the 2005 regulations and its many amendments. The regulations comprise 186 pages and includes ten pages of Amendments, Revocations and Explanatory Notes. One of the amendments removes the 100-hour pharmacy...