Prescriptions Charges and Exemptions

Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs).

The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.

NHS charges

From 1 April 2015, the charges are:

Prescription (per item): £8.20

12-month prepayment certificate (PPC): £104.00

3-month PPC: £29.10

If you will have to pay for four or more prescription items in three months, or more than 14 items in 12 months, you may find it cheaper to buy a PPC. The charge for a single prescription item is £7.65, whereas a three month PPC will cost you £29.10 a 12 month PPC £104.00.

Telephone advice and order line 0845 850 0030

General Public - Buy or Renew a PPC On-line

There is further information about prescription exemptions and fees on the NHS website


Certificates and Forms

Form Price VAT
Dental Form for Staff Joining Practice £86.00 INC VAT
Driving licence photograph £20.00 INC VAT
Freedom from infection certificate £20.00 INC VAT
GP Letter General £15.00
Health Declaration Booklet £26.00 INC VAT
Passport form/ photograph £25.00 INC VAT
Private sicknote / Fitness to attend school £15.00
Provident association claim form (e.g. BUPA/PPP) £25.00
School fees insurance claim form £25.00
Sickness/accident insurance benefit claim form £40.00 2 Pages
Sickness/accident insurance benefit claim form £20.00 1 Page
Sickness/accident insurance benefit claim form £15.00 1/2 Page
Signature £15.00
Travel Aborad - Fitness to travel certificate £26.00


Medical Examinations and Reports

Form Price VAT
Driver fitness certificate £155.00 INC VAT
Racing driver fitness certificate £155.00 INC VAT
Diving medicals £155.00 INC VAT
Fitness for sports £155.00 INC VAT
Extract from Records; Detailed written report, no exam 30 Minutes £70.00
Extract from Records; Detailed written report, no exam 45 Minutes £100.00
Extract from records; Pro forma report, no exam; 15 Minutes £45.00
Fees for medical consultation - private patients per hour £210.00 INC VAT
LGV, HGV, PCV, Taxi driver medicals, Adoption £115.00 INC VAT
Pre employment med/Comprehensive examination and report £155.00 INC VAT