Letters

The cost of sending a standard letter depends on the postage you use and how many sheets of paper you need.

NHS Notify’s standard postage is the default and most cost-effective option. It costs 64 pence to send a letter with one double-sided sheet of paper.

Prices include:

  • double-sided black and white printing
  • postage
  • paper
  • C5 size envelopes with an address window
  • returned letter costs
  • service costs

If your letter uses different postage or has more than one sheet of paper, the cost increases.

Paper Standard postage Business class First class
1 sheet 64 pence 73 pence £1.63
2 sheets 67 pence 76 pence £1.66
3 sheets 70 pence 79 pence £1.69
4 sheets 73 pence 82 pence £1.72
5 sheets 76 pence 85 pence £1.75

To use business class or first class postage:

View our delivery times.

Accessible formats

Accessible formats include the standard letter and the accessible format. Prices are based on the number of sheets of your standard letter.

Braille letters cost:

  • £3.28 for a letter with one sheet
  • £1.64 for each extra sheet

Audio CD letters cost:

  • £6.45 for a letter with one sheet
  • £3.23 for each extra sheet

Find out more about accessible formats.

Letter inserts

To include inserts such as leaflets with your letters: