The practice has a primary duty to provide services for the management of patients who are ill. Writing letters and reports (i.e. for insurance providers, adoption and fostering, driving (DVLA), housing and benefits appeals, schools, health clubs, and employers) all fall outside of the NHS GP contract. When medical reports are provided they are a private service and as such, have to be completed in the GP’s own time outside of their paid NHS working hours. These services incur a fee and we set our fees according to the British Medical Association guidance on private fees.
