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Private Prescription vs NHS Prescription

Private Prescription vs NHS Prescription

For some common medicines a private prescription costs less than the NHS charge. For others, considerably more.

£40 · 20 minutes

Same-day availability

6am to 10pm, seven days

Prices checked against the source, with the date shown

We say plainly where the other option is stronger

Verifiable facts only — no logos, no adjectives

Clinically reviewed by a GMC-registered GP

Clinically reviewed by Dr Mohammad Khan · Last reviewed

August 29, 2026

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A 20-minute appointment with a GMC-registered GP for £40. Same-day appointments are usually available, 6am to 10pm, seven days a week.

Private GP care led personally by Dr Mohammad Zubair Khan, GMC 7563469.

Why patients choose Cheshire Clinics

GMC registered doctors badge - every Cheshire Clinics consultation is with a General Medical Council registered GP

GMC-registered

Care led personally by Dr Khan

Royal College of General Practitioners badge - RCGP trained private GP consultations at Cheshire Clinics

RCGP-trained

Attentive, unhurried care that listens properly

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Highly rated by patients

Five-star Google reviews from the people we have looked after

Care Quality Commission registered badge - Cheshire Clinics online GP service is registered with the CQC, England's independent regulator of health and social care

CQC-registered

Registered with the Care Quality Commission

Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals
Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals

Overview

The difference is not what most people assume. It is not that one is better medicine — the drug is identical. It is who sets the price, and whether an exemption applies.

At a glance

  • The medicine — identical
  • NHS cost — a fixed charge per item in England, regardless of what the drug actually costs; free in Wales, Scotland and Northern Ireland, and free in England for those exempt
  • Private cost — the actual cost of the drug plus the pharmacy's dispensing fee, set by each pharmacy
  • Where you can take it — NHS to any NHS pharmacy; private to any pharmacy in the UK
  • Exemptions — apply to NHS prescriptions only
  • Speed — ours is issued within about ten minutes of the consultation

Price check

Prescription included in the £40 consultation; you pay the pharmacy for the medicine

Standard NHS charge per item in England, or free if exempt

View the source

Where Cheshire Clinics is stronger

Sometimes genuinely cheaper. The NHS charge is a flat fee per item whatever the drug costs. Many common generics cost the pharmacy only a few pounds, so a private prescription for them can come to less than the NHS charge. It is worth asking.

You can shop around. Private prescription prices are set by each pharmacy and vary substantially. You are free to compare, which you cannot do on an NHS script.

Speed. Issued electronically within about ten minutes, to a pharmacy you choose.

Access to things the NHS does not routinely fund. Some travel medication, some weight management treatment, and medicines outside NHS prescribing criteria.

No dispensing conflict. We do not own a pharmacy and earn nothing from what we prescribe.

Where they are stronger

Exemptions. If you are exempt from NHS charges — over 60, under 16, pregnant, have a qualifying medical condition, or hold a valid exemption certificate — your NHS prescriptions are free and no private route can beat that. The same applies across Wales, Scotland and Northern Ireland, where prescriptions are free for everyone.

Prepayment certificates. If you take several regular medicines, an NHS prepayment certificate caps your annual cost well below what private prescribing would come to.

Expensive medicines. Where a drug genuinely costs the pharmacy a great deal, the flat NHS charge is far cheaper than paying the real price.

Controlled drugs and specialist medicines. Many are simply not available privately, and none of the Schedule 2 and 3 drugs are prescribed remotely by us.

Still deciding?

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Who each suits best

NHS is better if

  • You are exempt from prescription charges
  • You live in Wales, Scotland or Northern Ireland
  • You take several regular medicines and hold a prepayment certificate
  • The medicine is expensive
  • It is a controlled drug or specialist medicine

Private may be better if

  • You pay NHS charges and the medicine is an inexpensive generic
  • You need it today and cannot get an NHS appointment
  • It falls outside NHS prescribing criteria
  • You are travelling and need something before you go

If your NHS practice can supply it and you are exempt, use them. We will say so.

How to decide

The NHS route is cheaper if

  • You are exempt from prescription charges — under 16, 16 to 18 in full-time education, over 60, pregnant or with a baby under one, on certain benefits, or holding a medical exemption certificate
  • You live in Wales, Scotland or Northern Ireland, where NHS prescriptions are free for everyone
  • The medicine is expensive. A single NHS charge covers any item, however costly. Privately you pay what the drug actually costs
  • You need several items. A Prescription Prepayment Certificate caps the annual cost in England, and an HRT-specific certificate does the same for hormone therapy

A private prescription is worth it if

  • The drug is a cheap generic. Ramipril, amlodipine, sertraline, metformin — the actual cost plus a dispensing fee often comes to less than the England charge
  • You need it today and cannot get an NHS appointment in that timeframe
  • The medicine is not available on the NHS for your indication — hair loss treatment, most weight loss medication, some travel medicines

What we would do

Ask the pharmacy what it will cost before you commit. They will tell you, and the answer varies between pharmacies more than most people expect.

If it turns out the NHS route is cheaper for you, take it. We would rather say so than have you discover it at the counter.

Common questions

Is the medicine any different?

No, not in any respect. Same drug, same manufacturer, same pharmacy.

The only difference is who sets the price you pay.

How much will it cost?

The pharmacy's cost for the drug plus their dispensing fee. For common generics that is often a few pounds; for newer drugs it can be a great deal more.

Ring and ask before you go. Prices differ between pharmacies.

Do exemptions apply?

No. Free prescription entitlements, prepayment certificates and medical exemptions apply only to NHS prescriptions.

If you are exempt, the NHS route is almost always cheaper — and we will tell you that.

Can I take it to any pharmacy?

Any UK pharmacy. You are not tied to a particular one, and you are not tied to us.

We do not sell medication and take no margin on it, so we have no interest in where you go.

How long is it valid?

Six months from the date written for most medicines, and shorter for controlled drugs.

Can my NHS GP take over the prescribing?

Often yes, and that is frequently the sensible outcome. We can write to them explaining what was started and why.

They are not obliged to continue it — that remains their clinical decision, and it is worth asking before assuming.

Are there things you will not prescribe?

Yes. We never prescribe opioids or stimulants remotely, and we do not prescribe benzodiazepines or z-drugs for ongoing use.

Some medicines also require shared-care monitoring arrangements that only an NHS practice can hold.

Is it cheaper to buy over the counter?

Very often, and we will say so. Omeprazole, cetirizine, hydrocortisone cream, iron and vitamin D are all available without any prescription at all.

Paying a consultation fee to obtain them makes no sense.

Dr Mohammad Zubair Khan, GMC-registered private GP and founder of Cheshire Clinics

Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469

Last reviewed

August 29, 2026

How it works

What happens when you book

£40 for a 20-minute appointment with a GMC-registered GP, 6am to 10pm, seven days a week. Membership is optional and never required.
Cheshire Clinics online GP appointment booking confirmation on mobile
01

Book your appointment

Pick a time that suits you — 6am to 10pm, seven days a week, including weekends and bank holidays. £40 for 20 minutes, self-pay, with no insurance to arrange.
5–10 minutes
Online video consultation with a GMC-registered private GP
02

Meet your GP

A 20-minute video or phone consultation with a GMC-registered GP — long enough for a proper conversation about your symptoms, your history and what matters to you.
20 minutes
Diagnostic testing plan including blood test panel, ECG and urine screening
03

Tests and referrals, if you need them

Where testing will actually answer the question, we arrange it — blood tests and health screening through our laboratory partner, or a referral for ultrasound, X-ray, CT or MRI through private imaging providers. We will also tell you when a scan is not the right next step.
1–7 days
Personalised results and treatment plan from a private GP consultation
04

Results and next steps

Your GP talks you through what the results mean and agrees the next step with you. Every consultation ends with your treatment plan in writing, and any prescription goes to your own pharmacy.
20 minutes
GP follow-up reminder for ongoing care and progress monitoring
05

Ongoing care and follow-up

Follow-up appointments, progress monitoring and ongoing advice — including saying plainly when something needs in-person or NHS care instead.

Ongoing

Questions about our service

How quickly can I be seen?

Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.

Will I see the same doctor each time?

Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.

Can you see my NHS records?

Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.

Are you trying to replace my NHS GP?

No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.

What is included in the appointment?

Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.

How much does it cost?

£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.

What does “treatable online” actually mean?

It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.

Can you prescribe antibiotics?

Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.

What if the GP cannot help with what I need?

If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.

What should I do in an emergency?

Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.

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