Please note all fees are payable at time of attendance or collection of the associated documentation.

Transcription

1 November 2014 STATEMENT OF PRIVATE AND PROFESSIONAL FEES (N-NHS SERVICES) The fees listed below are for services provided by your GP that are not covered by the NHS for those to which no national agreement applies and to patients registered with the practice as Private Patients Please note all fees are payable at time of attendance or collection of the associated documentation. This list is not exhaustive and contains only the most regularly requested items. Any reports, forms or letters which require a Clinician s input or signature will incur a minimum fee of at least 20. Specific quotes can be obtained by request from the Business & Finance Manager. CERTIFICATES / FORMS/LETTERS Private Sick Note Private Prescriptions Overseas Patients (please see flow chart to determine if fees payable) Private Patient Consultation (Patient registered as Private) Basic Fee (10 min) plus cost of private prescription plus cost of blood test plus cost of any private referral letter plus plus plus Fitness to Travel Fitness to Exercise (e.g. Health Club/Gym/Performing Sport) Passport Verification Holiday Cancellation Form (Patient incapacity to travel) Incapacity to work Accident/Illness Claim Forms (Insurance) Letter To Whom It May Concern / Short Letters Detailed Letter requiring additional work Elderly Fitness to Drive Photocard Driving Licence Blue Badge Report Freedom from Infection Certificate (to enable a person to attend school / work Seatbelt Exemption Shotgun Licence Certificate / Character Reference Letter to Educational Welfare Officer Vaccination Certificates HIV Test Counselling and blood taking ( Medical) Other short Government Forms eg Disability Living Allowance etc MEDICAL EXAMINATIONS / BLOOD TESTS Medical Examination e.g. Diving / Pilot / HGV / LGV / PCV / Taxi Medical Examination Post Employment (assess fitness) Medical Examination School / University Power of Attorney (examination): - Surgery - Home ECG Record 50.00

2 Report Private diagnostic blood tests per sample (not paternity testing) Foster Medical Examination and Report REPORTS & COPIES OF MEDICAL RECORDS Access to Records (Data Protection Act) - Computerised only - Manual & Computerised Plus Photocopies per sheet Up to Insurance Company Report with Medical Examination (paid by Insurance Co) Insurance Company GP Supplementary Report (paid by Insurance Co) Report based on extract from notes (PMA paid by Insurance Co) - per additional question GP Medical Report Extract from notes (no medical examination) OFSTED Form (no medical examination) Employment Medical Report (without examination) including recommendation to limit activities) Employment Medical (with examination) Pre-Employment Employment Medical (with examination) In-Employment VACCINATIONS / INJECTIONS including Travel ellow Fever vaccination (Hanham Health registered patient) ellow Fever vaccination (non-practice patient) incl consultation fee Rabies (each) Hep B (course of 3 injections check with nurse to determine no. req d) - each injection - Blood Test to check immunity Private Prescriptions (eg Larium, Malarone, Doxycycline etc) Patients will be required to sign the Hanham Health Private Fees Administrative Log to acknowledge the they have received, noted and understood the terms of the Hanham Health Statement of Private and Professional Fees (Non-NHS Services.) Overseas Visitors/Temporary Patients ou can register as a temporary patient with a GP practice when you are in the area for more than 24 hours and less than three months. It is up to the GP practice to decide whether to accept new patients or not. Treatment will be free of charge. If a GP decides to refer you to hospital or for any other specialized treatment (Secondary Care) then this will not necessarily be free of charge.

3 Non NHS Charges Why do GPs charge fees? our questions answered. Isn't the NHS supposed to be free? The National Health Service provides most health care to most people free of charge, but there are exceptions: Prescription charges have existed since 1951, and there are a number of other services for which fees are charged. It is because these services are not covered by the NHS, for example, medical reports for insurance companies, claim forms for referral for private care and other letters and forms which require the doctor to review the patient's medical records. Surely the doctor is being paid anyway? It is important to understand that GPs are not employed by the NHS. They are self-employed, and they have to cover their costs - staff, buildings, heating, lighting etc. - in the same way as any small business. The NHS pays the doctor for specific NHS work, but for non-nhs work the fee has to cover our costs. What is covered by the NHS and what is not? The government's contract with GPs covers medical services to NHS patients. In recent years, more and more organisations have been involving doctors in a whole range of non-medical work. Examples of non-nhs services for which GPs can charge their NHS patients are: Letters requested by, or on behalf of, the patient Accident/ sickness insurance certificates and reports Certain travel vaccinations Private medical insurance reports Holiday cancellation claim forms Referral for private care forms Certificates for fitness to start a diet regime or join a gym Medicals for HGV/ taxi/ PSV/ elderly drivers Diving licence forms Private sick notes Examples of non-nhs services for which GPs can charge other institutions are: Medical reports for an insurance company Some reports for the DSS/Benefits Agency Examinations of local authority employees Why does it sometimes take my GP a long time to complete my form? Time spent completing forms and preparing reports takes the GP away from the medical care of his/her patients. GPs have a heavy workload and paperwork takes up an increasing amount of their time. Meeting the needs of patients' medical problems obviously takes priority. I only need the doctor's signature-what is the problem? When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. Therefore, in order to complete even the simplest of forms, the doctor needs to check the patient's entire medical record. Carelessness or an inaccurate report can have serious consequences What will I be charged? The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual practice to decide how much to charge, but the BMA produces lists of suggested fees for the Doctors to use as a guideline.

4 Entitlement to NHS Primary Health Care Patient from EEA Country Patient from Reciprocal Healthcare Agreement Country Patient from Other Country Does the patient require emergency or immediately necessary treatment? In the area for UNDER 24 hours N Is the patient normally resident in the UK? (including students with student ID) Does the patient have an EHIC (European Health Insurance Card) or other E Card? See Note 1 Note 1: Department of Health aims to move to a situation where the EHIC becomes the sole method of establishing an entitlement to NHS treatment replacing all other E Cards. Is the patient an EEA resident holding form E112? (Entitlement to medical treatment in another EEA member state) Is the required treatment specified on the form? N Is the patient an EU resident holding form E128? (Notification of non-recognition or end of incapacity for work notification of a final certification on a claim from one country to another (usually affects ex-patriots) Is the patient an asylum seeker (including ones who are going through the appeals process) a failed asylum seeker or a refugee with leave to stay in this country? NB If the person cannot provide evidence of their entitlement, you may charge but if at a later date, they can demonstrate their entitlement you should reimburse charges paid. Treat the patient Privately* Patient is entitled to free treatment on the NHS Fully register or register as temporary resident

5 UK Citizens spending time abroad Does the patient live abroad for more than 3 months? Does the patient receive a Pension? De-register if still registered at the practice Does the patient live in the UK for 6 months and abroad for 6 months? Does the patient have Residency Status in the other country they reside in? Treat the Patient Privately* Patient is entitled to free treatment on the NHS Fully register or register as temporary resident NB Where you register the patient for NHS services, either permanently or temporarily, free treatment and prescription charges apply under normal rules (BUT.where the chargeable status of the patient is unclear, prescription charges should be paid by the patient and an NHS receipt (FP57) issued so that patent can receive refund, if at a later date their exemption is established. Where a referral into secondary care is considered appropriate, it is wise to warn the patient that they will be assessed by the hospital and MA have to pay for their treatment it is not automatically free because a GP has made referral. The spouse and children (under the age of 19, or 19 if in further education) who live permanently in the UK with a returning citizen have the same entitlement. *Whatever a patient s status is, if they are residing in this country for 3 months or more for a settled purpose then they are entitled to registration and free primary care (they may still be charged by secondary care if referred)

6 List of European Economic Area (EEA) countries* Countries comprising the European Economic Area are as follows: Austria Belgium Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden United Kingdom *source Companies House Nov 2014 Non European Economic Area (EEA) countries that have reciprocal healthcare agreements with the UK** The UK has reciprocal healthcare agreements with the non-eea countries and territories listed below. **source Nov 2014 Anguila Armenia Australia Azerbaijan Barbados Belarus Bosnia and Herzegovina British Virgin Islands Falkland Islands Georgia Gibraltar Isle of Man Jersey Kazakhstan Kyrgyzstan Macedonia (Former ugoslav Republic of Macedonia) Moldova Montserrat New Zealand Russia St Helena Serbia Tajikistan Turkmenistan Turks and Caicos Islands Ukraine Uzbekistan