As of 1st September 2026, Our practice will no longer provides general “To Whom It May Concern” (TWIMC) letters for insurance, financial, legal, housing, employment, travel, educational purposes (including schools, colleges and universities), or any other third-party requests.
Requests for medical evidence, confirmation of health conditions, extenuating circumstances, fitness to study, examination adjustments, travel cancellations, housing applications, benefits, employment purposes, insurance matters, or similar third-party requirements are not part of NHS-funded primary care services and therefore fall outside the essential services GP practices are contracted to provide.
These requests require a clinician to review the medical record, assess the information requested, and prepare an appropriate response. As such, they are classed as private, non-NHS work and would normally attract a fee.
Why are we making this change?
Over time, requests for TWIMC letters have become increasingly detailed and often require information to be reviewed, verified and presented in a specific format. To ensure that medical information is provided accurately, securely and consistently, the practice has decided to use iGPR (Intelligent General Practice Reporting) for insurance-related reports and medical evidence requests.
iGPR is a nationally recognised medical reporting service used by GP practices across the UK. Their secure platform is designed to process medical report requests efficiently while maintaining patient confidentiality and supporting data protection requirements.
Using iGPR allows our clinicians and practice team to:
- Prioritise NHS patient care and appointments.
- Reduce the administrative burden associated with non-NHS paperwork.
- Ensure requests are handled through a secure and compliant process.
- Provide a more consistent service for insurers and other authorised organisations.
What should I do if medical information is required?
If an insurance company or another third-party organisation requires medical information, they should submit a request through the appropriate formal process, which may involve iGPR.
Please note that the practice cannot provide a general “To Whom It May Concern” letter as an alternative.
Accessing your medical records
Many patients request a letter simply to obtain information that is already available within their GP record.
Patients can access much of their medical information through the NHS App or by logging into their NHS account online. Information available may include:
- Current and previous medications
- Allergies and adverse reactions
- Test results
- Appointment and consultation information
- Vaccination records
- Health conditions
- Clinical documents and correspondence where available
The NHS App also allows patients to manage appointments, request repeat prescriptions and securely access their health information online.
Before requesting a private medical letter or report, we encourage patients to check whether the information they require is already available through the NHS App.
Further information about the NHS App can be found at www.nhs.uk/nhs-app.
Important note
This change applies only to non-NHS letters and reports requested for third-party purposes. It does not affect your access to NHS services, consultations, treatment, referrals, fit notes, prescriptions, or any other NHS-funded services provided by the practice.
