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<p>The medical evidence letters, certificates or reports that practices may not charge patients for these are set out in Schedule two of the General Medical Services Regulations and Schedule one of the Personal Medical Services Agreements Regulations.</p><p>There are other medical evidence letters, certificates or reports that practices may charge for; these are set out in regulation 25 of the General Medical Services Regulations and regulation 19 of the Personal Medical Services Agreements Regulations. While there is no statutory limit to the level of such a fee, NHS England would expect the practice to charge a reasonable sum appropriate for the workload involved. The Professional Fees Committee of the British Medical Association publishes guidance for such services to help practices set their own fees. These are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested. Where it is necessary for general practices to provide medical evidence and they can charge for that evidence, these charges should be clear, fair, and consistent.</p><p>There are no plans to review the policy of which letters, certificates, or reports of medical evidence that general practices may or may not charge individuals for.</p> |