Not all services that we are required to provide are funded by the NHS, for example medicals for travel, insurance or employment.
Balham Park Surgery is entitled to charge for all Non-NHS Services. We generally apply rates recommended by the BMA (British Medical Association).
See our current pricing structure for Non-NHS services (last updated October 2015)
Non NHS Fees Please note: Prices are updated in line with annual recommendations.
GP Referrals To Private Consultants
Patients may have private health cover which they wish to use to see a specialist privately. If their insurance company require a referral from a GP, the GP may ask to see them to discuss it first, and provide a referral letter at a later date.
Prescription Requests Followings Private Consultations
GPs are not obliged to prescribe drugs at the request of a private specialist or a patient following a private consultation.
Local guidance on this subject dictates that;
"If patients opt to be treated privately then they should be prepared to be responsible for all costs associated with the management of what they are being seen for, including drugs".
Medications recommended following a private consultation may be prescribed at the discretion of GPs if they feel it falls within their remit and it is in-line with what they normally would have prescribed had the patient been seen under the NHS (with reference to local and national guidelines). Patients should therefore note that these drugs will not necessarily be prescribed on the NHS .
In general, private referral and all costs associated are the responsibility of the patient. Costs of any prescribed medications resulting from private consultations are also the responsibility of the patient, who should not expect them to be prescribed on NHS prescriptions.
Access to Medical Record
How do I access my medical records?
Doctors have always had the discretion to allow patients to see their health records and to share information where appropriate with the carers of children and incapacitated adults. Additionally in recent years Acts of Parliament have given certain statutory rights of access to records. None of the legislation prevents doctors from informally showing patients their records or, bearing in mind duties of confidentiality, discussing relevant health issues with carers.
The implementation of data protection legislation in early 2000 changed patients' statutory rights of access to their health records. The purpose of this guidance is to set out in some detail the legal requirements on doctors as holders of health records. This summary highlights the main points.
What records are covered?
All manual and computerised health records about living people are accessible under the Data Protection Act 1998.
Does it matter when the records were made?
No, access must be given equally to all records regardless of when they were made.
Does the Act cover all of the UK?
Who can apply for access?
Competent patients may apply for access to their own records, or may authorise a third party, such as their lawyer, to do so on their behalf. Parents may have access to their child's records if this is in the child's best interests and not contrary to a competent child's wishes. People appointed by a court to manage the affairs of mentally incapacitated adults may have access to information necessary to fulfill their function.
Are there any exemptions?
Yes, the main exemptions are that information must not be disclosed if it:
- is likely to cause serious physical or mental harm to the patient or another person; or
- relates to a third party who has not given consent for disclosure (where that third party is not a health professional who has cared for the patient).
Must copies of the records be given if requested?
Yes, patients are entitled to a copy of their records, for example a photocopy of paper records or print out of computerised records.
Can a fee be charged?
Yes, and the fee varies depending on the type of medical record requested.
Charges to provide access and copies:
Records held totally on computer: £10 minimum.
Records held in part on computer and in part manually: a reasonable fee minimum £10 to maximum £50.
Records held totally manually: a reasonable fee minimum £10 to maximum £50.
If you are applying to access your health record you will need to;
- Let our Non NHS / Finance Administrator know in writing or complete a consent form in reception.
- Provide identification as well as proof of current address. Original copies must be available when collecting your information.
- An initial administration fee of £10.00 will be charged. This must be paid by cash or card.
- There may be an additional charge payable when you collect your records.
What about access to the records of deceased patients?
The Data Protection Act 1998 only covers the records of living patients. If a person has a claim arising from the death of an individual, he or she has a right of access to information in the deceased's records necessary to fulfill that claim. These rights are set out in the Access to Health Records Act 1990 or Access to Health Records (Northern Ireland) Order 1993. The provisions and fees are slightly different from those in the Data Protection Act.
In these circumstances please contact our Non NHS / Finance Administrator on 020 8772 3322. Latest guidance on confidentiality and on sharing information with relatives and carers is available from the BMA's Medical Ethics Department.