Medical reports, supportive letters and medical forms

• Council tax exemption for severe mental impairment
• Death Certificates
• Notification of infectious disease
• Unfitness for Jury Service
• Reports/certificates requested by Dept. Work & Pensions
• Reports for Coroner
• Medically appropriate private prescription
• Medically appropriate private referral

• Private sick certificate (First calendar week) - £25
• Fit to fly - £45
• Fitness to carry out sporting activities e.g. Exercise, swim, running marathons etc. - £45
• Confirmation of registration - £20 for an individual; £30 in total for letters for a whole family
• Holiday cancellation insurance certificate - £45
• Letter re extenuating circumstances for exams/ academic commitments. (We cannot always do a letter especially if the medical records do not have information to support) - £50
• Lasting power of Attorney
  Page 10 relating to "Certificate provider" can be signed by someone who has known the “Donor” for at least two years such as a friend, neighbour, colleague or former colleague.
  This will save you the significant private fee involved in a GP signing it.
  GPs prefer not to sign these legal documents as there can be medico-legal implications in the future - £120
• Lasting power of Attorney (if home visit required) - £200
• Shotgun licence - £80
• Letters - non referral not otherwise funded - £20 if produced by administrator and £50 if produced by clinician

Please note the timeline for completion is 30 calendar days from the date payment is received.

We can print a copy of your immunisation history. Please come into reception to request this, or complete this online form.

Covid vaccines

• We cannot offer proof of covid vaccines. You can only get proof by using the NHS App or by calling 119.
• If there is an issue with your covid vaccination record, we do not have the ability to correct this. This must be done by calling 119. This includes Covid vaccinations done in the UK and abroad.

If requested by your Nexus GP surgery:

We can print your results once they have been reviewed by a clinician. If they are abnormal we will ask you to speak to a clinician first. You can request this directly with reception or complete this online form.

We can normally print this for you straightaway. There is no fee for this.

If requested by a hospital/another clinic:

It is always the responsibility of the person who organised the test to follow up the result. Therefore, if your hospital team have requested a test, please speak to them to check the result. We often do not get sent these results so we regret that we cannot give you the results; because we do not have the full information as to why the test was requested, it means we cannot safely interpret it. We do not have any special access to hospital staff so unfortunately can’t help you get in touch with them but we usually find that their email addresses and phone numbers are available on their websites.

We can print a copy of your medical problems. Sometimes this is called a ‘brief summary’, where it also includes your medications, results and recent consultations. You can request this by coming to reception or filling in this online form. These need to be reviewed by a doctor first, to check there is no third party information or potentially harmful information; your request will be passed to a doctor and will be ready within 2 working days. There is no fee for this service.

Because this contains sensitive medical information, you will need to attend in person to show photo ID including proof of address. If you would like someone else to collect this on your behalf we would need to see a signed consent form from you and then the person collecting would need to show photo ID.

Please note, the problem list will contain problem codes from your entire medical record, some of which you may have forgotten about, and some which may be incorrect, possibly even entered by a previous surgery. We don’t have the capacity to routinely review all problem codes, however, if you were particularly expecting a specific diagnosis to be present or if you think there is an error we will certainly review your records.

If you have been advised to give a letter to confirm a diagnosis etc, we strongly recommend requesting a brief summary (See above). This usually provides all the information necessary and it is free.

If after requesting a brief summary, you still require a report, we do recommend that you ask the person who needs this to write to us directly. If this is still not possible, please complete this online form and our Referrals and Reports team will get back to you to discuss this in more detail including the fee. We will not process the request until the fee is paid. The standard timeline for this is 30 calendar days.

The fees associated with the supply of a medical letter with commentary are not covered by the NHS. It is a private service, and as such there is an £85 fee attached to the service which is fixed with no exceptions. This is because of the level of activity involved in producing the letter:

• The clinicians time to carefully review your medical notes and prepare the letter.
• The administrative tasks and assistance from Nexus administration assistance to prepare the letter.

You are entitled to a copy of your full medical records. There is no fee for this legally, however it is a substantial amount of work; therefore repeated requests will be subject to a fee. If you use the NHS App, you can see all your consultations and documents on there from 13 December 2022 (or from date of registration with us, whichever is later) - you may find this gives you all the information you need; also, you may find that all you require is a brief summary (see above).

You can make your request at reception in person or fill in our online form. Please do not book a GP appointment for this.

Once your request has been received, we will notify you. We outsource all requests for medical reports to iGPR. They will be in contact with more information but you can contact them on 01527 570005 or www.igpr.co.uk/contact.

In order to make a new application for Universal credit / PIP / benefits, please contact the Department for Work and Pensions (DWP) directly. 

They will write to us directly with a special form which we will complete and send back to them

If you are making an appeal based on your PIP application, you must make this direct to them. They will then write to us. You do not need a special letter from us. If you still request a letter, there would be a charge of £85 for this, in line with the above section on ‘supportive letters'.

If you are unsure if you can drive or not, please check this website or discuss with your hospital consultant: https://www.gov.uk/driving-medical-conditions.

If you need to notify the DVLA then contact them directly and they will then write to us.

If you have a form from them which we need to fill in, please bring this to reception. Please ensure you have signed any consent pages. Do not book a GP appointment for this.

For taxi queries, please see separate section regarding taxi medicals (PCO Licences)

In order to complete the taxi medical, the following needs to take place:

1. For a taxi medical, please first of all book an optician check and ask them to fill out the appropriate page. We will not be able to complete your medical if you do not have this with you.
2. Please write your name at the bottom of every page. Please write your name IN CAPITAL LETTERS/ BLOCK LETTERS/ UPPER CASE.
3. You will also need a blood pressure reading taken within the last month. You can get a blood pressure reading at the machine in reception at many Nexus sites. Please speak to reception.
4. Finally, within one month of your blood pressure reading, please request a face to face appointment. The cost of this appointment is £135. To request your face to face appointment, please complete this online form. If you are unable to fill in the form online, please telephone your GP Practice, or visit reception and the team will complete the form for you.
5. We will try to give you your completed form at the end of your appointment. On occasion it may need to do it later in the day/the next day. When this happens, the reception team will advise you when you can collect your report.

If your solicitor requires a report from us, there will be a charge for this in accordance with our fee list. We aim to process these requests within 30 calendar days.

Patient (or Solicitor on behalf of patient) request for copies of records.
The first set either electronic or paper is free of charge. (Please see here for more information - Section 4, Paragraph 8) We encourage patients to have electronic rather than paper copies as this allows our staff to concentrate on NHS work and it is more secure.

The costs involved in second and subsequent requests are as follows:

• Admin of producing electronic copy of records - £30.00
• Admin and postage paper records - £30.00
• Photocopying per page - 0.50p

Solicitors reports

• Report on a pro-forma without examination - £160.00
• Report on a pro-forma with examination - £200

If you are applying for insurance, your insurer will write to us directly to request the required information. This a substantial piece of work and we aim to complete this within 30 calendar days. Please see below fees (paid by insurance company):

• Report without examination (iGPR)-includes targeted reports - £160
• Written report with examination and providing detailed opinion - £200
• Supplement/additional information - £27

Paper copies of medical recrods for patients: Unlike solicitor/patient paper, these are not free.

• Digital copies - Free
• Photocopying per page - 0.50p
• Admin and postage - £30

If you need a letter to prove that you were ill for the purposes of a holiday cancellation (or similar), then you may find that a simple printout of the appropriate consultation or a hospital discharge summary will be all this is required; there would be no charge for this. If this is not possible/applicable, then we may be able to write a letter but there would be a charge for this - £45. 

To release your medical records, we must have proof of your identifcation. We require photographic ID and one other form of ID. Both of these must contain your name. Your date of birth and address must be included on one of these.

List of accepted documents:

• Passport (Any current and valid passport)
• Biometric residence permit UK
• Current driving licence photocard - (full or provisional, any country)
• Birth certificate
• Adoption certificate
• Marriage/civil partnership certificate
• Immigration document, visa or work permit
• HM Forces ID card
• Firearms licence
• Bank or building society statement (issued in last 3 months)
• Credit card statement UK or EEA (issued in last 3 months)
• Financial statement, for example pension or endowment UK (issued in last 12 months)
• P45 or P60 statement UK and Channel Islands (issued in last 12 months)
• Council Tax statement UK and Channel Islands (issued in last 12 months)
• Utility bill UK - not mobile telephone bill (issued in last 3 months)
• Benefit statement, for example Child Benefit, Pension UK (issued in last 3 months)
• Central or local government, government agency, or local council document giving entitlement, for example from the Department for Work and Pensions, the Employment Service, HMRC UK and Channel Islands (issued in last 3 months)
• EEA National ID card (must still be valid)
• Irish Passport Card Cannot be used with an Irish passport (must still be valid)
• Cards carrying the PASS accreditation logo UK, Isle of Man and Channel Islands (must still be valid)