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Holt Medical Practice
 Holt Medical Practice

                                 Fees for non NHS Services


Some  certificates and examinations are not covered under the work we provide under our NHS contract. These are referred to as "non-NHS Services" or "private services" and a fee is charged for these.


To ensure that our time and resources are properly managed we will often ask for payment in advance.


Some common examples of work that would carry a charge are listed below. These are guide prices and we reserve the right to alter them where it is reasonable to do so. These costs will be discussed with patients in advance of work being carried out.


If you want to discuss the cost of any non-NHS work that does not appear on the list below, please call Jane Stewart on 01263 714320, who will be able to give you a quote.


Fees are payable in person by card or cash at Holt Medical Practice or Melton Constable, or call reception to pay over the phone.



Service    Amount  




Fitness to Travel letter/certificate

Jury Service Exemption letter

Sickness notification letter

Short miscellaneous letter to organisation  


£18 Yes


Shotgun license form/letter


£25 Yes


BUPA / PPP / private claim form

Holiday cancellation certificate

Insurance claim for accident sickness

Detailed miscellaneous letter to organisation  





Reports for medical insurance - cost dependant on 

complexity of report required


£50 - £150 Varies


Driver Medicals (HGV, PSV, Taxi, Boatman)


£108 Yes


Power of Attorney (patient not visited)

Power of Attorney (patient visited)

Mental Capacity (patient visited)









Private GP appointment (10 minutes) e.g. overseas patient

Nurse appointment e.g. private blood test / DNA swab


£30 Exempt


Please note: All services whose primary purpose is the protection, maintenance or restoration of health of a person are exempt of VAT. Services which enable a third party to make a decision (i.e. awarding a benefit, compensation  or pension ) are subject to the standard rate of VAT.

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