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Private Referral vs NHS Referral

Private Referral vs NHS Referral

We cannot refer you into the NHS at any price. Only your NHS GP can do that.

£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

Google five star reviews badge - Cheshire Clinics private GP online

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

This is the single most important limitation of any private GP service, and it is often left vague. We will be direct about it.

We cannot refer you into NHS specialist care. Not for a fee, not urgently, not at all. Only a GP working within the NHS can make an NHS referral. Any private service implying otherwise is misleading you.

At a glance

  • NHS referral — only your NHS GP can make one; specialist care then free at the point of use
  • Private referral — we can write one the same day; you pay the specialist
  • Two-week-wait cancer pathways — NHS only
  • Waiting time — NHS varies considerably by specialty and area; private usually days to weeks
  • Choice of consultant — limited on NHS; you choose privately
  • Cost of the specialist — NHS free; private paid, and ongoing treatment can be substantial

Price check

Referral letter included in the £40 consultation

Free; specialist care then free at the point of use

View the source

Where Cheshire Clinics is stronger

Speed of the letter. Written and issued within ten minutes of your consultation, rather than waiting for an appointment to request one.

The letter is actually useful. History, findings, results to date and a specific clinical question. Many referrals fail because the question is not clear.

You choose the specialist. By name, by sub-specialty, by location.

Speed of being seen. Private specialists are typically available within days or weeks.

Tests arranged alongside. Where a scan or bloods would help the specialist, we can arrange them first so you arrive with results rather than being sent away for them.

Where they are stronger

Cost. An NHS referral is free, and so is everything that follows — outpatient appointments, imaging, surgery, follow-up. Private specialist care is not, and the cost of ongoing treatment can be considerable and hard to predict.

Urgent cancer pathways. The two-week-wait system is NHS only. Where your symptoms warrant one, that pathway is the right route and is faster than most private alternatives for what actually matters.

Complex and multidisciplinary care. Anything needing several specialties, a cancer multidisciplinary team, or intensive care is NHS territory. Private practice is not structured for it.

Continuity after the referral. NHS specialist letters go back to your GP automatically. Privately, that only happens if you agree we should be told.

Still deciding?

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Who each suits best

Go through your NHS GP when

  • Your symptoms warrant an urgent cancer pathway
  • The condition needs ongoing or complex specialist care
  • You could not comfortably fund private treatment
  • The specialty has a reasonable NHS wait in your area

A private referral makes sense when

  • The NHS wait for that specialty is long and the problem is affecting your life now
  • You want a particular consultant
  • You want a second opinion on advice already given
  • You need to be seen before a deadline — travel, work, a procedure

What we do when it is urgent

Where something needs an NHS pathway, we say so plainly and write to your NHS GP the same day setting out the findings and the reason. We do not leave you to relay it yourself.

How to decide

You need your NHS GP if

  • You want NHS specialist treatment. Only an NHS GP can refer into it. No private letter and no fee changes that
  • Cancer is a possibility. The urgent suspected cancer pathway is an NHS route with a two-week target and it is free. If we suspect something on that pathway, we will tell you plainly and write to your GP the same day so they can refer — that is faster and better than anything we could sell you
  • The treatment is expensive. Surgery, oncology, complex care — free at the point of use on the NHS, and often five figures privately
  • You need ongoing specialist follow-up rather than a single opinion

A private referral is worth it if

  • You want a specialist opinion quickly and are prepared to pay for the appointment
  • You want to choose the consultant, which the NHS route does not really allow in practice
  • You have private medical insurance, in which case the referral letter is usually what your insurer requires to authorise treatment
  • A one-off opinion is what you actually need, rather than a course of treatment

The hybrid that often works best

Pay for the private first appointment to get seen quickly, then transfer back into NHS care for the treatment.

This is legitimate and common, but it is not automatic — you re-enter the NHS list according to clinical priority, not at the point the private consultant left you. Ask about that before assuming it will be seamless.

Common questions

Can you refer me on the NHS?

No. No private GP can, at any price. That is a structural feature of how NHS referrals work, not a limitation of our service.

We can write to your NHS GP with our findings, which frequently helps — but the referral is theirs to make.

What about an urgent cancer referral?

That is an NHS pathway and it is free. If we think it applies, we will say so clearly and write to your GP the same day.

We will also tell you to contact them yourself rather than wait for a letter to work its way through.

Will my GP act on your letter?

Usually they take it seriously, particularly where it sets out findings and reasoning.

They are not obliged to. The clinical decision remains theirs, and they may reasonably want to assess you themselves first.

Can I move from private back to NHS treatment?

Yes, and many people do. You are entitled to NHS care regardless of what you have paid for privately.

You join the NHS waiting list at the appropriate clinical priority, not at the front — that is worth understanding before you plan around it.

Does going private jump the NHS queue?

No, and it is worth being blunt about that. They are separate queues.

Paying privately gets you seen privately. It does not shorten your NHS wait.

How much does a private specialist cost?

An initial consultation is typically a few hundred pounds, and investigations and treatment are extra.

Ask for the full cost before booking, including what happens if further tests are needed.

Do I need a referral letter to see a specialist privately?

Most reputable consultants require one, and insurers almost always do.

A letter also means the specialist starts with the relevant history rather than from scratch, which is worth more than it sounds.

Is the referral letter included?

Yes — it is part of the £40 consultation, not a separate charge.

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.

Patient reviews

What our patients say

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