Prescriptions Charges and Exemptions

Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs).

The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.

NHS charges

From 1 April 2016, the charges are:

Prescription (per item): £8.40

12-month prepayment certificate (PPC): £104.00

3-month PPC: £29.10

If you will have to pay for four or more prescription items in three months, or more than 14 items in 12 months, you may find it cheaper to buy a PPC. The charge for a single prescription item is £8.40, whereas a three month PPC will cost you £29.10 a 12 month PPC £104.00.

Telephone advice and order line 0845 850 0030

General Public – Buy or Renew a PPC On-line

There is further information about prescription exemptions and fees on the NHS website


Certificates and Forms

Form Price
Freedom from infection certificate £30.00
GP Letter / Signature / Bus Pass £18.00
Holiday Cancellation Form £30.00
Health Declaration Booklet £30.00
Letter/Sickness/accident/Private insurance benefit claim form £25.00
Private Sicknote / Fitness to attend school £30.00
School fees insurance claim form £30.00
Fitness to travel certificate £30.00
Holiday cancellation certificate £30.00
Firearmes £30.00
Extract from Records / Letter Employer / Reports Occ Health Reports £50.00
Power of attorney no visit £75.00
Power of attorney visit £150.00


Medical Examinations and Reports

Form Price
Pre employment medicals/Comprehensive examination and report £155.00
Driver fitness certificate; racing driver fitness certificate; diving medicals; fitness for sports; £155.00
Extract from Records; Detailed written report, no exam 20 Minutes £89.00
Extract from Records; Detailed written report, no exam 30 Minutes £133.00
Fees for medical consultation – private patients per hour £210.00
LGV,HGV, PCV, Taxi driver medicals £115.00


Private Drug and Vaccine Charges

Drug Qty Dose Price Admin VAT Total
Hep A + Typhoid 1 Inj £37.10 £10.00 £0.00 £47.10
Hepatitis A (usually 2 Injections) Price Per INJ 1 Inj £24.00 £10.00 £0.00 £34.00
Hepatitis A+B Twinrix Price Per Inj 1 Inj £32.00 £10.00 £0.00 £42.00
Hepatitis B (Usually 3 Injections) Price Per INJ 1 Inj £15.00 £10.00 £0.00 £25.00
Rabies Price Per INJ 1 Inj 40.68 £10.00 £0.00 £50.68
Rabies Price Per INJ 1 Inj 40.68 £10.00 £0.00 £50.68