Insomnia, tiredness, sleep apnoea and low energy.
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.
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"Tired all the time" is one of the commonest reasons people see a GP and one of the most frequently dismissed. Iron deficiency, thyroid disease, B12 deficiency and early diabetes all present this way long before anything else.
For insomnia specifically, the treatment with the best evidence is not a tablet — it is CBT for insomnia, which outperforms medication and keeps working after it stops.
Sleeping tablets — not remotely, as routine treatment for insomnia. They cause dependence and tolerance, stop working within weeks, increase falls and fractures, and impair driving the following day.
Declining is the correct clinical decision rather than an inconvenience, and the answer is the same at 9pm as at midday. If that is what you are looking for, please do not pay for an appointment.
"Tired all the time" is a symptom, not a diagnosis. Iron deficiency, thyroid disease, B12 deficiency, sleep apnoea, coeliac disease, perimenopause, depression and early diabetes all present this way — and all are findable.
It is dismissed far more often than it is investigated, and that is what this category exists to correct.
CBT-I — cognitive behavioural therapy for insomnia — outperforms medication and keeps working after it stops, which medication does not. It is the recommended first-line treatment.
NHS Talking Therapies takes self-referrals in England — no GP letter, no charge — and many services offer CBT-I, alongside free digital programmes in parts of the country.
Stop the nightcap for two weeks. Alcohol sends you to sleep and then fragments the second half of the night — for a fair number of people it is the entire explanation.
Ask whoever sleeps near you what your breathing does. Sleep apnoea is usually noticed by a partner before the person themselves, and it is badly under-diagnosed — particularly in women, where it presents as fatigue and insomnia rather than classic snoring.
Worth looking at what was actually measured rather than the word "normal".
Ferritin in particular: symptoms occur well below 30, and hair and restless legs often need it above 50 — well above the level a lab flags as low. Thyroid antibodies, B12, vitamin D and coeliac screening are frequently not included either.
Bring the actual numbers, which is why we ask for results rather than a summary.
Not as routine treatment for insomnia, and it is worth knowing before booking.
They cause dependence and tolerance, stop working within weeks, increase falls, and impair driving the next day. Declining is the correct clinical decision — and the answer is the same at 9pm as at midday.
CBT-I. It outperforms medication in trials and keeps working after it stops, which medication does not — and it is free through NHS Talking Therapies on self-referral, no GP needed.
Because lying awake trains your brain to associate bed with being awake. Sleep restriction compresses time in bed to roughly the time you actually sleep, consolidates it, then extends gradually.
It feels wrong, it is harder for the first fortnight, and it is the most effective component there is.
Loud snoring with witnessed pauses in breathing, waking gasping, waking unrefreshed, and heavy daytime sleepiness. A partner usually notices before you do.
It is badly under-diagnosed in women, in whom it presents more as fatigue and insomnia than as classic snoring — and it is a cardiovascular risk factor in its own right, not only a sleep problem.
It gets you to sleep and then ruins the second half of the night, fragmenting sleep and suppressing REM.
Stopping the nightcap for two weeks is the cheapest diagnostic test available, and for a fair number of people it is the whole explanation.
Usually not, and it may be making things worse. Consumer trackers estimate sleep stages unreliably, and there is a recognised phenomenon of people developing genuine sleep anxiety from tracker data.
How you function in the day is the better measure.
Very possibly, and it is routinely attributed to everything else. Broken sleep and 3am waking are among the earliest perimenopausal symptoms, often arriving years before flushes and before periods change.
Both are real, and both are diagnoses of exclusion — which means the treatable causes should be properly ruled out first, and frequently are not.
Fatigue lasting beyond a few months warrants proper assessment rather than being labelled "post-viral" indefinitely, and specialist services exist for both.
One of the more valuable things we do — and never stop abruptly. With benzodiazepines or z-drugs, abrupt withdrawal can cause seizures.
Reduction is gradual and planned, combined with CBT-I, which is what makes it hold. Expect one to two weeks of rebound insomnia, which is not evidence you needed them.
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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