Any work that it not NHS work, Insurance Medicals, Private letters, Private Sick Notes, Private medicals all will incur a charge the charges are set on how involved the request is and how much of the GP’s time will be taken up. If you require any private work you will need to bring the details into the practice it will be reviewed by a GP and they will advise of the cost before any work is commence. Payment must be made before the work can be collected/completed.