Certain services and examinations are not covered under the NHS and will attract a fee. These have been recommended by the British Medical Association.
The Doctor will normally need to see a patient before issuing a medical certificate. For the first week of an illness a patientmay obtain a self certified certificate (SC1) from the Receptionist.
This can be completed by the patient without seeing the Doctor. If you need a private certificate, there will be a charge for this.