A number of services are not covered under the GMS contract and patients can be required to pay directly for these services:

• Minor surgery

• Phlebotomy services

• Warfarin monitoring

• Dressings

• Medical examinations and reports for legal purposes

• Examinations relating to insurance policies

• Examinations relating to fitness to drive, including eye test

• Pre-employment examinations

• School entry examinations

• Sports medicals/reports

• Travel vaccinations

• Some family planning services

• Pregnancy tests

• Screening services (cervical smears - if falling outside the guideline of the national cervical screening programme)