Medical letters, honestly written.

For periods under 7 days, you can self-certify directly to your employer (no GP letter needed). For absences longer than 7 days, your employer will typically need medical evidence. The NHS issues "Statement of Fitness for Work" (Med 3) forms which are the formal NHS sick note. Most UK employers also accept private GP sick notes, which is what we provide. If your employer specifically requires Med 3 from your NHS GP, we can't issue that — only your NHS GP can.

We can only certify illness based on what we've directly observed or what's clearly documented in NHS records you bring. If you've already been off and didn't see a doctor at the time, we can sometimes write a letter confirming you've been seen now and that you described the prior illness — but we can't certify in advance what we didn't see. The way to handle past absence is honesty with your employer about the timing.

Same-day for most letters — sick notes, student letters, return-to-work, travel medication, confirmation of treatment. The letter is drafted, signed and given to you at the end of the appointment.

24–72 hours for complex letters needing extra information — insurance medical reports often need to go back-and-forth with the insurer; settlement medical letters typically need supporting documentation. We'll be clear at booking and at the appointment.

Bring (1) the airline's specific medical clearance form if they've sent one (different airlines have different requirements), (2) your most recent discharge summary or specialist letter for the condition that's prompting the request, (3) a list of current treatments, (4) photo ID and travel details (flight dates, destinations).

Common reasons airlines ask for fitness-to-fly: recent surgery (typically within 6 weeks for abdominal / chest surgery), pregnancy from around 28–36 weeks depending on airline, recent cardiac events or DVT, recent significant illness. We'll review your specific circumstances and the airline's requirements.

Yes — we write letters supporting DWP / PIP claims based on documented clinical findings. To be clear about what this means: we describe your condition and functional limitations as we genuinely see them. We don't write exaggerated letters to support a claim, because exaggerated letters are easily identified and usually do more harm than good for an application.

The most useful letters are detailed, specific, factual: which diagnoses, which functional limitations, which evidence supports what. We'll need your medical history from your NHS GP, any specialist letters, and a careful consultation to describe day-to-day impact properly.

With your consent, we send a copy of clinically significant letters to your NHS GP so they have a complete record. For routine letters (e.g. fitness to fly, travel medication) where there's no new clinical content, we usually don't — but you can request it.

For DWP, settlement, or insurance reports involving comprehensive clinical assessment, NHS GP awareness is good clinical practice and we'll discuss it at the consultation.

For most administrative letters (work, school, travel, housing, immigration), a GMC-registered GP letter is what's required — specialist input isn't needed and would actually be unusual. For specialist conditions where a court, insurance company, or visa application specifically requires a consultant letter (e.g. cardiology, psychiatry, oncology), we can arrange this through our specialists. Specialist letters cost more — ask us for a quote.

Court letters — especially those that may be used in legal proceedings — are medico-legal reports, which is a specialised area. Most family court cases need specialist child-and-adolescent psychiatry or psychology reports rather than GP letters. We can issue confirmation-of-treatment letters for solicitors (e.g. confirming dates of attendance, diagnoses on record, ongoing treatment), but full medico-legal reports for use as evidence in court typically need a doctor with specific medico-legal training.

Sometimes a patient asks for a letter we can't honestly write — for example, a letter confirming a diagnosis we can't substantiate, an exaggerated statement to support an application, or something requiring assessment we're not qualified to do. We'll tell you upfront so you don't pay for an appointment that can't produce what you want. We'll suggest alternatives where possible — specialist referral, a different letter framing, or signposting to the right professional.

The appointment fee covers the clinical review and our professional judgement — if after that review we genuinely can't write the letter as requested, we'll discuss what we can write and any partial refund applicable to the specific circumstance.

Letters are on official My Health & Wellbeing Clinic letterhead, dated, signed by the GP, with the GP's full name, GMC registration number and our CQC registration number visible. This is the standard format accepted by UK employers, schools, airlines, the Home Office, insurance companies, and DWP. A digital copy is emailed to you alongside the printed version.