Blood pressure, cholesterol, palpitations and cardiovascular risk.
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
Cardiovascular disease is largely silent until it isn't. High blood pressure and raised cholesterol cause no symptoms for years, which is exactly why they are worth measuring rather than waiting to feel.
Most of what matters here can be assessed remotely: a blood panel, a blood pressure reading you take at home, and a proper risk calculation that accounts for your age, family history and lifestyle.
Cardiovascular risk is one of the few areas where remote assessment is better rather than merely equivalent, because the measurements that matter are a blood sample and a reading you take at home.
If you should be doing this through your NHS GP, we will tell you. Blood pressure and cholesterol are treated free with structured annual review, the medicines are among the cheapest in existence, and it is lifelong care that is better joined-up in one place.
What we offer is speed, unhurried time, and a proper review for someone who has been on a repeat prescription for years without one.
Do not book an appointment to check whether chest pain is serious. Heart attacks are regularly mistaken for indigestion, and an antacid relieving it proves nothing.
High blood pressure and raised cholesterol cause no symptoms for years. Around a third of UK adults with high blood pressure do not know they have it, and it is the single largest modifiable risk factor for stroke.
There is no feeling to wait for. That is the argument for measuring rather than monitoring how you feel.
A validated upper-arm blood pressure monitor. Modest cost, and the readings it gives are more useful than anything measured in a clinic room.
Check it appears on the British and Irish Hypertension Society validated list, and get the cuff size right — a cuff that is too small gives falsely high readings. Do not buy a wrist monitor, whatever the packaging claims.
Supplements marketed for blood pressure or cholesterol. Red yeast rice, which is an unregulated statin with no dosing control. Omega-3 for cholesterol lowering. And expensive private cardiac screening packages before you have had a risk calculation and a lipid profile, which cost a fraction and answer the question.
Because that is exactly how cardiovascular disease behaves until it doesn't. High blood pressure and raised cholesterol produce no symptoms for years.
Headaches and nosebleeds are not reliable signs, and people who treat by how they feel stop taking treatment when they feel well — which is when it is working.
That depends on your overall cardiovascular risk, not on your cholesterol number alone. Age, blood pressure, smoking, diabetes and family history all feed into it.
We calculate QRISK3 and show you the figure with and without treatment, so the decision is made on your actual numbers rather than a result that looked high on a printout.
Because home readings are the better measurement, and because we cannot take yours remotely. Twice daily for seven days, upper-arm monitor, discard day one.
Clinic readings are raised in a substantial proportion of people simply by being in a clinic.
Considerably — and it is frequently not asked about. A parent or sibling with a heart attack or stroke before 60 changes your risk calculation meaningfully.
Very high cholesterol plus early heart disease in the family should prompt assessment for familial hypercholesterolaemia, which affects roughly 1 in 250 people, is substantially underdiagnosed, and means testing relatives too.
Usually — it is control rather than cure, and both blood pressure and cholesterol rise again when treatment stops.
Some people do come off blood pressure treatment after substantial weight loss, stopping drinking, or treating sleep apnoea. That is a planned decision with monitoring, not something to try alone.
Common and dose-related, and it often improves when a second drug is added rather than the dose being pushed higher.
A dry persistent cough on an ACE inhibitor is the other one — about 1 in 10 people, and it resolves on switching to an ARB. People put up with both for months before mentioning them.
Frequently, yes. The arteries supplying the penis are smaller than the coronary arteries and narrow detectably earlier — ED can precede a cardiac event by three to five years.
That makes it an opportunity rather than only a problem, which is why treating it without asking why is a missed one.
Palpitations with dizziness, chest pain, breathlessness or blackout need urgent in-person assessment.
Palpitations alone are often benign — caffeine, alcohol, anxiety, an overactive thyroid, anaemia — but they may be atrial fibrillation, which needs an ECG and cannot be diagnosed remotely. We can assess the likely cause and refer.
We can refer for imaging and cardiology assessment, and we can arrange the blood tests.
What we would discourage is buying an expensive cardiac screening package before a risk calculation and a lipid profile — those cost a fraction and answer the question for most people.
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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