Asthma, cough, breathlessness and chest infections.
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
Five-star Google reviews from the people we have looked after
Registered with the Care Quality Commission
Breathing problems are one of the areas where video genuinely helps — a GP can watch your inhaler technique, which is impossible over the phone and is the commonest fixable cause of poor asthma control.
Anything acute belongs elsewhere. If you are too breathless to speak in full sentences, call 999.
Inhaler technique is the standout. A large proportion of people get a fraction of the dose from their inhaler, it is the commonest fixable cause of poor asthma control, and a GP can watch you do it on camera — which is impossible over the phone.
Most chest infections are viral and get better on their own. We prescribe antibiotics where a bacterial infection is genuinely likely and not otherwise — and we earn nothing from prescribing, which matters here more than usual, because a service paid per prescription has a reason to issue one.
Declining is not us being unhelpful. What you get instead is a clear answer on what this is, how long it should last, and exactly what would mean you need to be seen.
Deaths from asthma in the UK are frequently preventable, and the recurring pattern is under-recognising severity. Err on the side of calling.
A cough lasting more than three weeks needs assessing rather than waiting out — particularly with weight loss, coughing blood, hoarseness, or in a current or former smoker. That is an urgent chest X-ray conversation, and the delay is what costs people.
Rationing your preventer inhaler to save money is the most expensive thing you can do — it leads to flare-ups, steroid courses and admissions.
If cost is stopping you taking it, say so. Exemption certificates, prepayment certificates and cheaper equivalent devices all exist.
Air purifiers and nasal filters, whose evidence does not approach that of a properly used nasal steroid. Supplements for "lung health". And heated tobacco products, which are marketed as safer and are still tobacco.
Four questions. Reliever more than twice a week? Symptoms waking you at night? Exercise limited? Steroids or emergency care in the past year?
Any yes means it is not well controlled — however normal it feels. People adjust their lives around asthma and stop noticing.
Because the reliever treats the symptom and the preventer treats the disease. The blue inhaler opens the airways for a few hours and does nothing about the inflammation causing the problem.
Relying on it is the pattern that precedes most serious asthma attacks.
Statistically, probably not. It is the commonest fixable cause of poor control, it takes five minutes to correct, and it is exactly why video is worth using here.
Yes — a cough beyond three weeks needs assessing rather than waiting out.
More urgently so with weight loss, coughing blood, hoarseness, chest pain, or a smoking history. That is an urgent chest X-ray conversation, and delay is what costs people.
No, and nor can any remote service. A first diagnosis needs objective testing — spirometry or FeNO — which cannot be done by video. We can refer for it.
Because most chest infections are viral, and antibiotics do not help viral illness — they cause side effects, drive resistance, and can mask what is actually happening.
What a consultation gives you instead is a clear answer on what this is, how long it should last, and the specific signs that would mean you need to be seen urgently.
Yes — inhaled steroid doses are small and act locally, which is quite different from repeated courses of oral steroids.
Undertreated asthma is considerably more dangerous than a preventer inhaler.
Frequently. Anaemia, an overactive thyroid, anxiety, obesity, deconditioning and heart problems all present as breathlessness, and blood tests settle several of them.
Sudden breathlessness, or breathlessness with calf swelling, needs urgent assessment — that can be a clot.
Possibly sleep apnoea, which is badly under-diagnosed — particularly in women, where it presents more as fatigue and insomnia than as classic snoring.
It needs a sleep study rather than sleep advice, and it is a cardiovascular risk factor in its own right. If you are falling asleep while driving, stop driving and be assessed — there are legal as well as safety implications.
Less harmful than smoking, not harmless — and vaping can itself trigger asthma symptoms.
If it got you off cigarettes, that is a gain; the comparison is with smoking, not with nothing. Aim to come off nicotine eventually, and never start if you do not smoke.
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.
Patient reviews
