Some medicines need blood monitoring to stay safe. Issuing repeats without it skips a genuine safety step.
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Because some medicines are only safe while someone is checking.
Examples where monitoring is not optional:
The interval is not arbitrary. Kidney function changes with age, illness and other medicines, and a dose that was right two years ago can be wrong now.
We would rather arrange the test than issue a prescription that has outrun its monitoring. A service that issues repeats indefinitely without checking is not being convenient, it is skipping the part that keeps you safe.
Where your NHS GP already monitors you, that is usually the better home for a long-term repeat, and it is free. We will say so rather than duplicate it.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
September 8, 2026
On this page
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Told when a test isn’t needed
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20 minutes
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Included
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£40 for 20 minutes
Varies by practice
Typically 10 minutes
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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.
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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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