Letters
The cost of sending a standard letter depends on the postage you choose and how many sheets of paper you need.
Prices include:
- paper
- postage
- double-sided black and white printing
- C5 size envelopes with an address window
| Paper | 1st class | 2nd class |
|---|---|---|
| 1 sheet | Up to £1.78 + VAT | Up to 67 pence + VAT |
| 2 sheets | Up to £1.82 + VAT | Up to 71 pence + VAT |
| 3 sheets | Up to £1.86 + VAT | Up to 76 pence + VAT |
| 4 sheets | Up to £1.92 + VAT | Up to 81 pence + VAT |
| 5 sheets | Up to £1.96 + VAT | Up to 85 pence + VAT |
Letters in accessible formats
You can use a range of accessible formats to send letters to people with accessibility needs.
Learn more about NHS Notify’s accessible letter formats.
| Accessible format | Cost |
|---|---|
| Large print (16 point font) | Same as a standard letter |
| Braille | £1.98 + VAT |
| Audio CD | £2.80 + VAT |
Letter inserts
If you need to include inserts such as leaflets with your letters, contact us by sending an email to england.nhsnotify@nhs.net.
Returned letter costs
There is an 18 pence charge for each letter you send that is returned. Returned letters are then destroyed for data security, which costs £5.99 (plus VAT) for every 10,000 letters.
Letters are sometimes returned because:
- the address is invalid or does not exist
- it has been refused by the recipient
- the address is vacant or the recipient is no longer there