It is important to understand that many GPs are not employed by the NHS. They are self-employed and they have to cover their costs – staff, buildings etc – in the same way as any small business.  The NHS covers these costs for NHS work but for non-NHS work, the fees charged by GPs contribute towards these costs.

The government’s contract with GPs covers medical services to NHS patients including the provision of ongoing medical treatment.  In recent years however more and more organisations have been involving doctors in a whole range of non-medical work. Sometimes the only reason that GPs are asked is because they are in a postion of trust in the community or because an insurance company or employer wants to ensure that information provided to them is true and accurate.