Headache, migraine, dizziness, tremor and nerve pain.
Assessed and treated by a GMC-registered GP
Prescriptions, sick notes and referral letters included
A written treatment plan after every appointment
Your NHS records in the room, with your consent
Every condition below has its own page covering symptoms, causes, how it is diagnosed, whether it can be treated online, and when to seek urgent help.
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
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Registered with the Care Quality Commission
Migraine is chronically undertreated. Many people manage on paracetamol for years without ever being offered a triptan or a preventer, and without anyone mentioning that overusing painkillers causes headache in itself.
A sudden severe headache reaching maximum intensity within seconds is a medical emergency — call 999, do not book.
Headache is diagnosed on history, and history takes time — which makes this one of the better categories for an unhurried remote consultation.
Most headaches do not need a scan, and early scanning can mislead. Migraine is diagnosed on history, scans in typical migraine are normal, and incidental findings generate anxiety and further tests.
Imaging is warranted where the pattern is atypical or has changed, or where there are neurological signs — and we will say so and arrange it.
Four to eight weeks of a diary reveals patterns nobody can reconstruct from memory, and it is what makes an appointment useful. Date, duration, severity, what you took and whether it worked — plus periods, sleep and anything obvious around it.
It is also how medication-overuse headache gets spotted.
Less exotic than people expect. Skipped meals, dehydration, disrupted or excess sleep, stress — and the let-down afterwards — hormonal changes and alcohol.
"Weekend migraine" is usually a lie-in, a late breakfast and delayed caffeine, not a mystery.
This is the most useful thing on the page. Triptans, codeine and combination painkillers: no more than 10 days a month. Paracetamol or ibuprofen: no more than 15.
Beyond that you get medication-overuse headache — a headache caused by the treatment for the headache. It improves when the overused medicine is withdrawn, though it worsens for a week or two first, which is why it needs a plan rather than willpower.
CGRP inhibitors and Botox for chronic migraine are available on the NHS through neurology, and they are genuinely effective for people who have exhausted the standard options. Referral is free. Nobody should be told nothing more can be done.
Long-term codeine, which works poorly for migraine and is among the likeliest to cause medication-overuse headache. Expensive supplements and devices with thin evidence. And private scans for typical migraine, which are normal and can generate incidental findings.
Call 999 for a sudden severe headache reaching maximum intensity within seconds. That is not a migraine.
Also urgent: headache with fever and neck stiffness or a non-blanching rash; after a head injury; with weakness, confusion, slurred speech or visual loss; a first severe headache over 50; or one much worse lying down or on coughing.
Very possibly — it is the most under-recognised thing in headache medicine.
More than 10 days a month for triptans, codeine or combination painkillers, or 15 for simple painkillers, causes medication-overuse headache. It creates a cycle: more headaches, more painkillers, more headaches.
Three things to check before concluding that. Did you take it early enough? Triptans work best at the first sign, and waiting to see whether it becomes a bad one is the commonest reason they fail. Did you try it across three separate attacks? Did you try a different one? There are several, and response genuinely varies.
Worth discussing if you have attacks on several days a month, or if acute treatment is close to the overuse limits.
Success means roughly halving attack frequency, not eliminating migraine — and it takes eight to twelve weeks at an adequate dose to judge. Most people who say preventers did not work stopped at week three.
That matters, and it is worth raising rather than assuming somebody has checked. Migraine with aura makes the combined pill unsuitable because of stroke risk.
The progestogen-only pill, implant, injection and coils are all fine.
Usually not. Migraine is diagnosed on history, scans in typical migraine are normal, and incidental findings cause anxiety and further tests.
Scanning is warranted where the pattern is atypical or has changed, or where there are neurological signs.
Yes, urgently — 999. Weakness, numbness, speech difficulty or visual loss that resolves is a TIA, and it is a warning of imminent stroke.
The risk is highest in the days immediately afterwards, which is exactly when people are most inclined to wait and see. Do not.
The word covers several quite different things, and which one you mean changes everything.
Room-spinning vertigo — often inner ear, and benign positional vertigo is treated by a physical manoeuvre that works remarkably well and cannot be done over video. Light-headedness on standing — often blood pressure, medication, dehydration or anaemia. Unsteadiness — which needs neurological assessment.
Very likely if attacks cluster around them — menstrual migraine is common and frequently missed.
It can be treated with timed treatment around that window or by adjusting contraception, and it often worsens in perimenopause before improving afterwards.
Yes. CGRP inhibitors and Botox for chronic migraine are available on the NHS through neurology and are genuinely effective for people who have exhausted the standard options.
Referral is free. Nobody should be told nothing more can be done.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 29, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
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.
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.
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.
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.
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.
£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.
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.
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.
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.
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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