At Court Thorn Surgery, our primary responsibility is to deliver high-quality care under our NHS contract. This includes appointments, prescriptions, referrals, and other essential services provided free at the point of use.
However, we also offer a limited range of non-NHS services, which are not covered by the NHS and therefore incur a fee. These include:
- Medical reports and insurance forms
- Private letters or certificates
- Fitness to travel or participate statements
- Employment-related health checks
- Holiday cancellation forms
- Adoption or fostering paperwork
- Firearms licensing reports
Turnaround Time
Please note that NHS work takes priority. As a result, non-NHS services may take up to 6 weeks to complete, depending on clinical capacity and demand.
We appreciate your patience and understanding.
Fees & Payment
Fees for non-NHS services are set in line with BMA guidance and are reviewed annually. Payment is required before work is undertaken. A full list of fees is available through our Medical Secretary team.
Important Notes
- Not all requests can be fulfilled—completion is at the discretion of the clinician.
- We do not offer services such as passport countersigning or witness statements.
- Urgent requests may be declined if they interfere with NHS obligations.
Private Services Not Provided
At Court Thorn Surgery, our priority is delivering high-quality care under our NHS contract. As such, we do not offer the following private or non-NHS services:
- Sky diving medicals
- Fit to fly certificates
- Scuba diving medicals
- Seatbelt exemption requests
- Acting as a referee for passport applications
- Letters for court
- Marathon or Fitness Event Certificates
- Prescribing sedatives for radiological procedures
Need More Information?
If you have questions about non-NHS services or fees, please contact reception. We’ll advise on availability, turnaround time, and any required documentation.
You can find our fees for these services in the surgery.


