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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think GPs shouldn’t charge for these letters?

265 replies

Lostare · 31/08/2025 09:10

Flying soon (cheap flights and staying with family). I take injectable medication bi-weekly an autoimmune condition. I will be due to take this when I’m away.
I asked my GP for a letter confirming it’s prescribed medication so I can take it through the airport and they’ve requested £55 to give me this.
AIBU to think this is a ridiculous amount? I’m now stuck between not paying it and leaving my medicine at home, risking my condition flaring up, vs paying it and losing half my budget for my holiday!
is this a usual amount?

OP posts:
KiwiFall · 31/08/2025 21:10

Onthebusses · 31/08/2025 20:15

£55 for a short letter is crazy.

I personally don’t think so. There’s more than “just a short letter” that goes into it in the background.

SaratogaFilly · 31/08/2025 20:48

GPs are their for your health, not to facilitate your holidays (or anything else for that matter), so they’re fully entitled to charge for letters & anything else outside of the health remit. The entitlement shown by the Op is staggering.

Sirzy · 31/08/2025 20:48

Strangely the staff in a GP practice have got more important jobs to do than to help your holiday planning!

rainingsnoring · 31/08/2025 20:32

Onthebusses · 31/08/2025 20:15

£55 for a short letter is crazy.

That's just your opinion. Other professionals charge much higher fees and they are entitled to do so. You should be grateful that you were not charged by the GP.

SouthWamses · 31/08/2025 20:28

Lostare · 31/08/2025 20:24

I’ve just read back their response and noticed they say at the end ‘please allow 30 days for the letter to be processed following receipt of payment’ which has actually infuriated me further… £55 for 5 minutes work that they have 30 days to complete? In what other industry would this be accepted as reasonable? Even if they weren’t planning to just print of the prescription, they should just be able to log on and see the medication and type the words ‘I can confirm X is prescribed X’
But good alternatives to the GP listed on this thread so thank you so much to those who gave advice!

You could always request a copy of the letter from the hospital informing the GP of the prescription. That would be free (it is a Subject Access Request) and takes up to a month.

Lostare · 31/08/2025 20:24

I’ve just read back their response and noticed they say at the end ‘please allow 30 days for the letter to be processed following receipt of payment’ which has actually infuriated me further… £55 for 5 minutes work that they have 30 days to complete? In what other industry would this be accepted as reasonable? Even if they weren’t planning to just print of the prescription, they should just be able to log on and see the medication and type the words ‘I can confirm X is prescribed X’
But good alternatives to the GP listed on this thread so thank you so much to those who gave advice!

OP posts:
Onthebusses · 31/08/2025 20:15

rainingsnoring · 31/08/2025 19:05

That's not exactly the impression you gave in your initial post is it! It was very decent of them not to charge you and GP certainly do show discretion if they know that patients are genuinely struggling, which you were.

£55 for a short letter is crazy.

rainingsnoring · 31/08/2025 19:05

Onthebusses · 31/08/2025 18:53

The letter was asking for debt forgiveness due to poverty arising from poor mental wellbeing due to domestic abuse. I said it's ironic to make me pay, please don't. I didn't have the money, ironically.

That's not exactly the impression you gave in your initial post is it! It was very decent of them not to charge you and GP certainly do show discretion if they know that patients are genuinely struggling, which you were.

CostelloJones · 31/08/2025 18:59

I usually just take a copy of my prescription and my original letter from my consultant diagnosing me/saying I should use this medication.

I get that it’s annoying but the GPs and staff are already very strained and reviewing this/sorting out the letter will take time out of their day.

Onthebusses · 31/08/2025 18:53

rainingsnoring · 31/08/2025 18:32

How entitled and cheap of you. Clearly, the GPs in your surgery are far nicer and more generous than you are.

The letter was asking for debt forgiveness due to poverty arising from poor mental wellbeing due to domestic abuse. I said it's ironic to make me pay, please don't. I didn't have the money, ironically.

rainingsnoring · 31/08/2025 18:32

Onthebusses · 31/08/2025 17:33

Is it printed on gold leaf written in the blood of endangered chinchillas?

In this world you only get what you ask for. I have had letters and pleaded poverty and asked for them to be done free of charge. They were.

How entitled and cheap of you. Clearly, the GPs in your surgery are far nicer and more generous than you are.

SouthWamses · 31/08/2025 18:30

ILoveWhales · 31/08/2025 18:04

😄 quite

People are surprised by the cost of a professionals time because the NHS is free at the point of delivery.

It's the same with solicitors. An experienced solicitor can charge £500 an hour excluding VAT. So for a short letter charged at one 6 minute unit is £50 + £10 VAT. £60 for short letter.

Not different to a GP.

I agree. Most people are completely oblivious to the cost of healthcare in the UK. Even private healthcare doesn’t truely reflect the cost as it uses the NHS as its safety backup for ICU. But if you do go private then a consultation generally works out over £200 per hour, often a lot more.

So a GP reading up your request, reading your notes to check the prescription (at which point they have acquired some responsibility for it and indemnity insurance would come into play and they would need to make a professional judgement about it especially if prescribed elsewhere), typing it up or having it typed up by a member of clerical staff they pay, posting it or contacting you to tell you to collect it, and raising an invoice, makes £55 seem cheap.

Lifelover16 · 31/08/2025 18:15

Vaxtable · 31/08/2025 14:24

GPS are businesses holding a contract to the NHS to see patients. They need to make a profit to run said business. Providing a letter is an extra, that’s the going cost now

It’s an extra for the individual GP, not the NHS surgery. They can charge whatever they choose.

Lifelover16 · 31/08/2025 18:13

You are certainly not unreasonable.
But GPs are independent small businesses, contracted to provide certain services to the NHS. Writing this type of letter is not one of the contracted services so they can charge whatever they choose. As my father used to say if you want a doctor to do something, write the request on the back of a cheque.
Would a copy of your repeat prescription and the pharmacy label on the medication not suffice?

winterplease21 · 31/08/2025 18:09

Hi OP who supplies your injections ?

when we fly with daughter she has quite a lot of injections and IV mediations. We always need to take a letter and it is supplied by bupa who deliver her medications for free. They will even deliver her supplies to the airport !!!!

ILoveWhales · 31/08/2025 18:04

SouthWamses · 31/08/2025 18:01

Pleading poverty for a letter to shown an airline as you fly off on holiday?

😄 quite

People are surprised by the cost of a professionals time because the NHS is free at the point of delivery.

It's the same with solicitors. An experienced solicitor can charge £500 an hour excluding VAT. So for a short letter charged at one 6 minute unit is £50 + £10 VAT. £60 for short letter.

Not different to a GP.

SouthWamses · 31/08/2025 18:01

Onthebusses · 31/08/2025 17:33

Is it printed on gold leaf written in the blood of endangered chinchillas?

In this world you only get what you ask for. I have had letters and pleaded poverty and asked for them to be done free of charge. They were.

Pleading poverty for a letter to shown an airline as you fly off on holiday?

Onthebusses · 31/08/2025 17:33

Is it printed on gold leaf written in the blood of endangered chinchillas?

In this world you only get what you ask for. I have had letters and pleaded poverty and asked for them to be done free of charge. They were.

ILoveWhales · 31/08/2025 16:30

intrepidpanda · 31/08/2025 16:03

So you want the GP to do this for free in a slot where they could be seeing a patient so you can go on holiday.

I think the cost is also a deterrent to patients. If they charged a nominal fee such as £5 or for free all their time would be taken up with this.

intrepidpanda · 31/08/2025 16:03

So you want the GP to do this for free in a slot where they could be seeing a patient so you can go on holiday.

KiwiFall · 31/08/2025 15:53

C8H10N4O2 · 31/08/2025 14:18

Nobody needs to “draw up” anything. Have you never used a modern business system with self service?

I think the point is the GP haven’t prescribed these. If the patient has Patient Knows Best and they were prescribed by the hospital. It will be on the clinical letters which are downloaded on that app. I think this medication is not from the GP. Therefore having a letter from the GP will cost.

I have got and paid for the letters from the GP or taken copies of hospital letter or taken the medications in their original labelled packaging.

rainingsnoring · 31/08/2025 15:45

MeridaBrave · 31/08/2025 15:43

Mine charges £80 for anything they don’t have to do…

Probably fairly similar to some other professionals, although lawyers tend to charge far more.

Soontobe60 · 31/08/2025 15:44

Lostare · 31/08/2025 09:52

Thank you for the advice I will contact the company that delivers it and ask them for a letter.
Ive gone through everything on the app, there is one letter from the hospital to the GP that mentions the pens but it’s a long letter about other things and is mentioned in one line of it (she switched to self injecting x on x date and the condition has remained stable). I wonder if this would be sufficient?
the IBD nurses haven’t called me back and I tried them twice, they never do unless you state you’re in a flare and coming to A&E. I tried them first.
I understand the pressures on GPs, I’ve been very unwell for 10 years so I do understand the stresses they are under, nonetheless I think charging a patient this much for a simple letter is ridiculous.

That is similar, if not cheaper, than the cost to the NHS of a 10 minute GP face to face appointment.
I think it’s very reasonable.

MeridaBrave · 31/08/2025 15:43

rainingsnoring · 31/08/2025 14:40

You are projecting here. The OP asked about the charge specifically.

Mine charges £80 for anything they don’t have to do…

rainbowunicorn · 31/08/2025 15:39

Eixample · 31/08/2025 14:57

If the problem is the GP’s time, perhaps the answer is that it shouldn’t need to be a doctor who does it. The letter isn’t saying that the medication is appropriately prescribed. It’s just saying that on x date your medical records showed that y medication had been prescribed for you until z date. That’s a clerical confirmation, not a medical one.

Which still has to be paid for. If the clerical support to the GPs is taken up with this essentially private work then it has an impact on the whole surgery. The secretary doing this is taken away from the NHS work that the surgery is obligated to do under the NHS contract. That work still needs to be done.

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