Websites & patient experience · Practical guide

Explain separate charges for letters and reports

Patients may assume that any letter following an appointment is included. A practice may include a short summary but charge separately for a detailed third-party report. People may assume a report or letter is included because it relates to the appointment they have paid for. Explain whether it is a separate service and how fees are confirmed before they request it.

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Make the website useful for the people who use your practice.

What to change

Explain the document types by their purpose, not internal billing codes. Have the responsible team approve the distinction and how someone requests a quotation.

A worked example

Illustrative example

A clinic includes a consultation summary but has a separate process for an employer report. The page explains where to ask about that report without promising that every requested statement can be provided.

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Make the service and next step clear on every screen.
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Put it into practice

Ask the responsible team to distinguish routine correspondence from additional documents. A clear example can help, but it must reflect the practice's actual offer rather than imply that all reports take the same work or cost the same amount.

Place the explanation near the relevant request route as well as the price information. People often discover the need for a document after booking and may not revisit the original fee page.

What to agree before publishing

Ask the service team which documents are part of the appointment and which are separately requested work. Use names patients recognise and explain the route for confirming scope and fees before proceeding. A standard summary and a detailed report may involve different arrangements, so avoid a broad statement that all letters are included or chargeable. Put the explanation near the request route as well as the main price page. People often discover this need after booking and may not revisit the original service description.

How to check the result

Readers can distinguish an ordinary appointment summary from an additional document request.

A mistake to avoid

Avoid implying that paying a report fee guarantees the wording, conclusion or delivery of a document that still needs professional consideration.

Turn reading into a next step

Your action checklist

Work through these checks with your team or supplier. Tick the ones you have resolved and leave unknowns open.

Checks to discuss

Record what you know, what is still missing and the answer you need from your team or supplier.

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Further reading

These sources provide background for the topic. The practice examples and checklist are illustrative planning suggestions from Kay & Co.

Related guides

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