We will no longer write reports stating patients are fit to take part in relatively dangerous pursuits eg bungee jumping, marathon running, parachute jumps, scuba-diving etc. This is because we can never safely say that people are fit to do these. These letters should be requested from doctors who are specialised in sports medicine if they are required.
We will continue to complete forms for patients to fly or take part in theatre productions etc. Current fees for these (April 2016) vary between £40 and £90.50 depending what is required.