Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

GP charging for blue badge letter - disabled child

214 replies

GPlettercharge · 12/05/2025 10:58

Just checking if this is usual practice to be charged for a GP to write a supporting letter for a blue badge application for a disabled child?

My child is 5, has profound learning difficulties and ASD. Is non verbal and attends specialist school. Displays many challenging behaviours and has no sense of danger. Regularly refuses to walk and can also try to run into the road etc.

Our local authority are notoriously difficult in giving out blue badges and I was advised by his specialist school to get a supporting letter from the GP to apply for a blue badge as they’ve seen first hand how dangerous he is in a car park.

Our GP had an appt with him and has agreed to write the letter. However they have charged £40 for this.

Is this standard? It seems excessive, it’s not as though we’ve asked for a letter to support us going on holiday or something. This is for a disabled child!

I suppose I will pay it if necessary but wanted to check if this was the norm.

Thanks

OP posts:
HornungTheHelpful · 12/05/2025 13:30

PhilippaGeorgiou · 12/05/2025 13:26

It doesn't guarantee that the nasties don't turn up, but there is a disabilities board that is friendlier. You need to understand that empathy around here is reserved for only those earning £100k pa wanting to not pay tax.

There’s plenty of sympathy. Why do you equate disagreement with nastiness? No one has been unpleasant, just haven’t agreed.

Feelingleftoutagain · 12/05/2025 13:27

GPlettercharge · 12/05/2025 11:03

Apparently this is not sufficient with our local authority and they turn almost everyone down. Was trying to avoid a pain of going back and forth as we seem to do with everything to do with my son’s disability.

Im still scarred from the battle of the EHCP and getting him into a specialist school

It is standard practice for Dr's to do this, however a teacher at the school or the Head of the school could write a letter explaining the situation, as well as the fact they have seen him being not aware of road safety.

MaryGreenhill · 12/05/2025 13:27

Standard here in South Wales too OP.

PhilippaGeorgiou · 12/05/2025 13:26

GPlettercharge · 12/05/2025 12:53

To all the others on this thread who have been so unnecessarily nasty, I hope it’s made you feel good about yourselves.

And I hope none of you have to deal with disabilities for yourself or those you love.

It doesn't guarantee that the nasties don't turn up, but there is a disabilities board that is friendlier. You need to understand that empathy around here is reserved for only those earning £100k pa wanting to not pay tax.

whippy1981 · 12/05/2025 13:24

CautiousLurker01 · 12/05/2025 12:34

Many of us do lots for the community for nothing in return pay-wise: e.g I ran both brownies and beavers, was district commissioner overseeing safeguarding of 3000 children and 76 volunteer staff, for 4 years. Gave up multiple evenings and weekends running camping events etc, looking after both able bodied and the less able, giving parents of SEN child respite. DH also coached the cricket team for 6 years. Not so much as an expense claim for petrol.

Perhaps you could share what YOU do for your community in terms of time away from family for no pay?

I work about 80 hours a week unpaid for my community and it keeps me away from my family and not one person that I do that for does a thing for me. AND this is because of people asking for things on goodwill. This is purely down to ppl exacting things for nothing and not a choice. So it starts off as 1 hour then extends to unreasonable hours. This is the extreme end of what 'empathy' does.

I wasn't asking for what you do voluntarily in the community, I meant as an expectation from others as part of your job - how many extra hours do you do because ppl expect it?

I was asking for a reciprocal arrangement - what do you do for your GP/kid's school/nursery etc for the unpaid labour they do for you?

perpetualplatespinning · 12/05/2025 13:24

@C8H10N4O2 in England, the automatic entitlements to a blue badge are the same across all councils. In England, high rate mobility DLA entitles the claimant to a blue badge whatever council they live in.

perpetualplatespinning · 12/05/2025 13:23

@Isobel201 in England, the automatic entitlements to a blue badge are the same across all councils. In England, with PIP, 8 points in the moving around activity automatically entitles someone to a blue badge, but 8 points from the planning and following a journey activity doesn’t. Although that doesn’t mean people can’t still apply and be assessed.

Moier · 12/05/2025 13:21

Does he get DLA? My Grandson got one automatically with our council by providing his award letter .

x2boys · 12/05/2025 13:20

dogsarecute · 12/05/2025 11:00

yes. I am sorry to hear that

Have you not gone under the SMI,route he would have an automatic enttlemrnt?

SalfordQuays · 12/05/2025 13:20

OP I’m a GP and as others have said, and as you now realise, the NHS won’t cover this sort of work unfortunately. It’s a bit like if your child went to nursery, and you paid a monthly fee for it, then one of the staff babysat for you one Saturday night. That cost wouldn’t be covered by your monthly fee. You’d have to pay the nursery worker separately.

Also, it’s not necessarily the individual GP’s decision how much to charge. The practice will have a policy, decided on by the partners and manager, and the BMA guidelines.

It’s frustrating, I understand that, but the volume of supporting letters is such that waiving the fees would lead to hours and hours of unpaid work. And by definition, most of the supporting letters we write are for people who are disadvantaged. That said, I have written letters to support council house applications and insisted on not charging. I can’t see the point in forcing someone who is homeless to try and scrape together £20 for a letter . I’d rather work for free than do that.

C8H10N4O2 · 12/05/2025 13:16

perpetualplatespinning · 12/05/2025 12:33

@Isobel201 only high rate mobility DLA automatically entitles someone to a blue badge. Just like only certain PIP mobility awards automatically entitle someone to a blue badge.

Not in every area. Just like “the" NHS is actually a million little fiefdoms, each with their own set of rules and rationing criteria the criteria and requirements applied by differing badge awarding authorities vary widely.

Whacking up the extra barriers to make it as difficult as possible is a common tactic. Some will accept a specified level of PIP or DLA as a qualifier, others don’t. Kent is apparently in the latter category.

I suspect very few people who haven’t done it have the slightest clue about the costs involved with a significantly disabled child. PIP and carers allowance don’t touch the additional costs for many let alone the fact that in many cases one parent loses an income to provide the care.

Isobel201 · 12/05/2025 13:13

perpetualplatespinning · 12/05/2025 12:33

@Isobel201 only high rate mobility DLA automatically entitles someone to a blue badge. Just like only certain PIP mobility awards automatically entitle someone to a blue badge.

yes it depends on certain councils, but with mine I can apply for one with standard PIP, not enhanced.

Yolomy · 12/05/2025 13:13

Butchyrestingface · 12/05/2025 13:10

I don’t think you’re unreasonable to be shocked by this, OP.

I’m not criticising the GP but I think it’s really sad that it’s come to this, parents of disabled kids being charged for letters so they can access services/aids on their children’s behalf.

The point a lot of people were making is that neither the GP or the parent should have to do this. There is already a completely FREE process to apply for the badge? Therefore both parties are in an awkward situation where the parent should not even have to ask the GP but strangely, the entire blame is on the GP

Butchyrestingface · 12/05/2025 13:10

GPlettercharge · 12/05/2025 11:04

Fair enough. Seems as though I’m being unreasonable and will have to suck up the charge.

Im just shocked by this. Although I shouldn’t be considering how hard every single aspect of his life is

I don’t think you’re unreasonable to be shocked by this, OP.

I’m not criticising the GP but I think it’s really sad that it’s come to this, parents of disabled kids being charged for letters so they can access services/aids on their children’s behalf.

HornungTheHelpful · 12/05/2025 13:07

GPlettercharge · 12/05/2025 12:53

To all the others on this thread who have been so unnecessarily nasty, I hope it’s made you feel good about yourselves.

And I hope none of you have to deal with disabilities for yourself or those you love.

I’m sorry, but I disagree that anyone has been nasty; they have presented a different point of view robustly, but that’s not “nasty”. You’ve accused other poster’s of lacking empathy for your struggle but my exasperation is because I’m struggling too, in no small part because of all the additional stuff I do for free and the guilt engendered by the abuse when I don’t do things for free. So I think there may be a lack of empathy, or at least understanding, in your initial stance too.

I do think it is a problem that so many people feel that things like this (the letter) should be provided by the State. The welfare state - without any concerted effort or design - has changed completely from what it was intended to be initially. There’s no problem with change but there’s no consensus on what should be covered - which is problematic. Also it has encouraged many of us to stop seeing dealing with our unique circumstances as our, or even primarily our, own responsibility. And the main problem with that is when that falls outside what the State will do, we get cross because we think someone else should sort it (Dr, lawyer, lady at the LA etc) and we lack the ability to deal with it (not saying you specifically do, people in general) or the mindset not to be put out by it. Which makes it harder again.

None of this is your fault of course, and may well not apply to you - I imagine in your circumstances you have had to develop great resilience to support your child. But it is a general problem and it seems like your issue is with the allocation of finite resources - which is not really anyone’s fault and something (else) you have to deal with. But I echo what someone up thread has said - who else should have to deal with it?

Yolomy · 12/05/2025 13:07

GPlettercharge · 12/05/2025 12:51

Thank you for this reply, it’s made me cry.

I was beginning to think I was going mad on this page.

My GP is lovely and has been very helpful, I just (naively) assumed this service would be covered under the NHS.

Ive been put right and I certainly wouldn’t want GPs to be working out of hours for nothing to do this work. I (wrongly according to others) feel that the contract should cover this sort of thing.

Thanks for doing what I’m sure is a very difficult and stressful job.

I agree it’s really hard but cannot be amended as much of the form filling isn’t children needing badges (as this is now free via the council) it’s people with insurance forms, who can afford the insurance product therefore need to pay the fee, or parents who want to take their DC on a trip

snowmichael · 12/05/2025 13:06

GPlettercharge · 12/05/2025 10:58

Just checking if this is usual practice to be charged for a GP to write a supporting letter for a blue badge application for a disabled child?

My child is 5, has profound learning difficulties and ASD. Is non verbal and attends specialist school. Displays many challenging behaviours and has no sense of danger. Regularly refuses to walk and can also try to run into the road etc.

Our local authority are notoriously difficult in giving out blue badges and I was advised by his specialist school to get a supporting letter from the GP to apply for a blue badge as they’ve seen first hand how dangerous he is in a car park.

Our GP had an appt with him and has agreed to write the letter. However they have charged £40 for this.

Is this standard? It seems excessive, it’s not as though we’ve asked for a letter to support us going on holiday or something. This is for a disabled child!

I suppose I will pay it if necessary but wanted to check if this was the norm.

Thanks

Depends entirely on your GP surgery
My current surgery does not charge for things like that (not even for fit notes) but a sign at reception says they may charge for insurance claim letters
My previous surgery charged for just about everything, including taking prescriptions to the local pharmacy (in the days before EPS)

Hwi · 12/05/2025 13:05

whippy1981 · 12/05/2025 12:17

So they should work for nothing because a patient is vulnerable? They would go bankrupt if they did.

Sorry we as a society expect freebies and unpaid labour from a whole host of professions by using emotive language such as 'vulnerable' etc.

They are showing empathy by providing a service to vulnerable patients.

It is a way of expecting things for free by using such language. They are a business. You pay for their service.

Surely you know that the state (taxpayers) pay 600K per qualification (training) per one GP? Surely you know medical degrees are insanely subsidised and whatever medical students pay, does not begin to scratch the surface of the real cost borne by teh society? Surely they should show some elementary shame and not charge a disabled person for a letter that their secretary would type in 2 minutes, using a template? And the same secretary (salaried, harassed) would attach a facsimile of the doctor's signature?

Yolomy · 12/05/2025 13:04

LoafofSellotape · 12/05/2025 12:35

It didn't use to be, my GP wrote mine but it was 15 years ago when the GP decided whether you needed one . I think it's a crying shame they charge, it's to do with your health and well being.

It doesn’t really work like that. Unfortunately things like choosing to fly on a plane to go on holiday and needing a letter to fly isn’t a ‘medical need’ / your GP isn’t recommending you go to Spain are they? or getting yourself life insurance and needing a GP sign off isn’t a ‘medical need’ it’s financial for your mortgage.

the NHS was never intended to do all that extra work. It’s not intended to do the work of others to make your life easier or cheaper.

I do think a lot of GP’s will waive a fee for a child or special circumstances and I do appreciate the OP feeling upset by it

but then other people have come and shown their entitlement and why there are fees. Why should you get 30 mins of free NHS time for your mortgage insurance form to be filled out when there are other patients with actual illnesses who need an appointment? This is why it’s not NHS work

CautiousLurker01 · 12/05/2025 12:58

TipsyGreenSeal · 12/05/2025 12:50

That's voluntary.

Something that you chose to do that you get some emotional or social reward for and have the spare time to do - otherwise you wouldn't be volunteering.

That's not at all the same as someone doing work for free outside of their employment contract when the fees charged go towards the running of the business.

The PP I replied to stated: How many of them on here would do something for nothing that impacts on their family life? I bet none!

I answered that. And my GP VOLUNTARILY waived their charge. And have done so on multiple occasions. Which is the point of this thread.

I am not arguing that I think they should HAVE to or that where they charge it is wrong, I have simply pointed out that GPs have discretion as to when/whom they charge for a service and I am lucky enough to GPs who CHOOSE not to charge for a lot of stuff for my kids when it has been to do with their disabilities. That’s the GPs’ right, too. They don’t take their instruction from moral crusaders on MN.

No point getting your knickers in a twist with me over an educated professional’s personal choices. I didn’t ASK them to waive their fee.

MissyB1 · 12/05/2025 12:57

HaudYerWheeshtYaWeeBellend · 12/05/2025 11:38

I wouldn’t know as I am not privy to his information, you asked a question and we answered it!

Continue your drip feeding tho, we asked questions based on your OP and you answered!

Stop getting pissy because you don’t like the replies!

How are you after your empathy bypass? Making a good recovery?

Perhaps you should be made to walk a mile in OP'S shoes.

GPlettercharge · 12/05/2025 12:53

To all the others on this thread who have been so unnecessarily nasty, I hope it’s made you feel good about yourselves.

And I hope none of you have to deal with disabilities for yourself or those you love.

OP posts:
GPlettercharge · 12/05/2025 12:51

Violetmouse · 12/05/2025 12:29

I'm a GP and have charged for many a letter like this over the years. It sucks, but it's the only way to keep the practice going and pay all the bills / salaries - if work is not funded by the NHS contract we have to either not do it or charge.

I'm really unsure why the OP is getting such a hard time though. She asked a question, listened to the answer and hasn't said anything negative about others, just that having a disabled child is really tough financially, practically, emotionally. Which is true. Sounds like you're doing a really good job advocating for your kid OP, well done

Thank you for this reply, it’s made me cry.

I was beginning to think I was going mad on this page.

My GP is lovely and has been very helpful, I just (naively) assumed this service would be covered under the NHS.

Ive been put right and I certainly wouldn’t want GPs to be working out of hours for nothing to do this work. I (wrongly according to others) feel that the contract should cover this sort of thing.

Thanks for doing what I’m sure is a very difficult and stressful job.

OP posts:
Mumofoneandone · 12/05/2025 12:51

I had to get a GP's letter to support my blue badge appeal. I was not charged for this - it may have been because it was a more straightforward case. I'm an adult though. Also had to have a letter from my specialist team for my condition, again provided without charge....
Do think you are suffering appalling treatment.....

TipsyGreenSeal · 12/05/2025 12:50

CautiousLurker01 · 12/05/2025 12:34

Many of us do lots for the community for nothing in return pay-wise: e.g I ran both brownies and beavers, was district commissioner overseeing safeguarding of 3000 children and 76 volunteer staff, for 4 years. Gave up multiple evenings and weekends running camping events etc, looking after both able bodied and the less able, giving parents of SEN child respite. DH also coached the cricket team for 6 years. Not so much as an expense claim for petrol.

Perhaps you could share what YOU do for your community in terms of time away from family for no pay?

That's voluntary.

Something that you chose to do that you get some emotional or social reward for and have the spare time to do - otherwise you wouldn't be volunteering.

That's not at all the same as someone doing work for free outside of their employment contract when the fees charged go towards the running of the business.