Some services fall outside the NHS and for these a charge may be made. These are Spire/PPP forms, private certificates, and various special examinations for employment, elderly drivers’ insurance, sports and schools etc. Patients will be requested to read and sign a form accepting the charge for this service. A full list of these services including charges is displayed on our noticeboard and kept at reception. Medical examinations if required, e.g. by an insurance company, are charged at standard BMA rates. If you need a special examination please arrange this with the receptionist, as they cannot be done within NHS time. Please take note that a longer appointment will be required. Failure to attend an appointment will incur a fee.