1 Toronto Avenue, Manor Park, London E12 5JF
020 8911 8378[email protected]

Non-NHS services

At Sangam Surgery, our primary role is to provide NHS medical care to our patients. However, there are certain services that fall outside the scope of the NHS, and these are referred to as Non-NHS Services.

These services are not funded by the NHS, so we must charge a fee to cover the time, resources, and administrative work involved.

Examples of Non-NHS Services include:

  • Private medical certificates
  • Travel vaccination certificates
  • Holiday cancellation forms
  • Employment or driving medicals (e.g., HGV, DVLA)
  • Insurance reports
  • Letters for schools, employers or housing authorities
  • Adoption or fostering medicals

Why do we charge for these services?

These services require GP time and staff resources outside of their NHS duties. Like any professional, GPs must be compensated for work that isn’t part of their regular NHS contract. Fees are set based on the time required, the complexity of the task, and administrative costs.

We aim to keep our fees fair and transparent. A full list of our current charges is available in the surgery and below.

Non-NHS Letters and Reports

When preparing non-NHS letters, reports or completing forms, the practice can only provide factual information that is contained within a patient’s medical records. We are unable to include statements, opinions or confirmations that are not supported by the clinical record or based solely on a patient’s request.

Please note that the practice does not undertake mental capacity assessments for legal or other non-NHS purposes, including assessments relating to wills, Lasting Powers of Attorney (LPA), property or financial matters. If a mental capacity assessment is required, patients should seek advice from the organisation or legal professional requesting the assessment, who can advise on the appropriate independent clinician or specialist service.

Non-NHS Services Fees

Date published: 11th September, 2023
Date last updated: 17th July, 2026