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Long-Term Condition Review

Long-Term Condition Review

The annual review you were meant to get, done properly and without a ten-minute limit.

£40

20 minutes

Written summary within 10 minutes; test results reviewed as they arrive

Unhurried care from a GMC-registered GP

6am to 10pm, seven days a week

Prescriptions, sick notes and referral letters included

Your NHS records in the room, with your consent

Clinically reviewed by Dr Mohammad Khan · Last reviewed

August 23, 2026

Book a consultation

A 20-minute appointment with a GMC-registered GP for £40. Same-day appointments are usually available, 6am to 10pm, seven days a week.

Private GP care led personally by Dr Mohammad Zubair Khan, GMC 7563469.

Why patients choose Cheshire Clinics

GMC registered doctors badge - every Cheshire Clinics consultation is with a General Medical Council registered GP

GMC-registered

Care led personally by Dr Khan

Royal College of General Practitioners badge - RCGP trained private GP consultations at Cheshire Clinics

RCGP-trained

Attentive, unhurried care that listens properly

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Highly rated by patients

Five-star Google reviews from the people we have looked after

Care Quality Commission registered badge - Cheshire Clinics online GP service is registered with the CQC, England's independent regulator of health and social care

CQC-registered

Registered with the Care Quality Commission

Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals
Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals

Overview

If you have a long-term condition, you are supposed to have a structured review at least once a year. In practice it is often a blood test, a phone call and a repeat prescription — and the questions you actually wanted to ask do not fit.

This is that review, done unhurriedly. Twenty minutes with a GP who has looked at your numbers beforehand, covering not just whether the condition is controlled but whether the treatment still suits your life.

What's included

  • A 20-minute consultation with a GMC-registered GP
  • Review of your current results, home readings and symptom diary
  • The monitoring bloods your condition requires, arranged for you
  • Cardiovascular risk assessment where relevant
  • Review of whether your treatment is at the right dose — not just whether you are on something
  • Discussion of side effects, and of what you have quietly stopped taking and why
  • Your treatment plan in writing, with agreed target numbers
  • Private prescription where a change is appropriate
  • Specialist referral where the condition warrants it

How it works

1. Tell us what you have and what you take

When you book, tell us the condition, your medications and any recent results. If you have home readings — blood pressure, blood glucose, peak flow — send them.

2. Testing first where it helps

For most conditions the review is far more useful with current bloods in hand. We can arrange those before the consultation, or during it if you would rather talk first.

3. The consultation

Structured to your condition, but always with room for what you wanted to ask.

4. The plan

Written, specific and shareable — what your targets are, what changes, when to retest, and what should prompt you to get in touch sooner.

Ready to book this?

Book a consultation

What to expect

Send your numbers before the appointment

The GP reviews them beforehand, so the twenty minutes goes on what they mean rather than on reading them.

  • Recent blood results with dates and reference ranges — and older ones too, because a trend says more than a single value
  • Home readings — blood pressure, blood glucose, peak flow. Bring the whole set rather than a summary; the spread is informative
  • Your current medication, in the boxes
  • When you last had the checks that go with your condition — diabetic foot and eye screening, retinal photography, spirometry

Expect a conversation about dose, not just about being on something

A great many people are on a medicine at a dose that was never increased after it was started. Being on treatment and being adequately treated are different things, and the review is about the second.

Expect to be asked what you have quietly stopped

And why. This is asked deliberately and without judgement — abandoning a statin because of muscle aches, or a blood pressure tablet because of ankle swelling, is common and usually fixable by a switch. What does not help is a prescriber who does not know.

If it is asthma or COPD, have your inhaler with you

You will be asked to demonstrate your technique on camera. Inhaler technique is wrong in a large proportion of people who have used one for years, and it is almost never checked — which means the medicine never reaches the lungs regardless of the dose.

This is one of the genuinely valuable things a video consultation can do that a phone call cannot.

The parts that still need doing in person

Diabetic foot checks, retinal screening and spirometry cannot be done remotely by anyone. They remain a necessary part of proper care, and the review will tell you which you are due and where to get them — most are free on the NHS.

Who it's for

Conditions we commonly review:

  • Type 2 diabetes — HbA1c, kidney function, lipids, and a proper conversation about what the number means
  • High blood pressure — reviewed against home readings, which is how it should be done
  • Asthma and COPD — including inhaler technique, which is wrong in a large proportion of people and rarely checked
  • Thyroid conditions — dose review against symptoms as well as TSH
  • High cholesterol and cardiovascular risk
  • IBS, migraine, eczema and other conditions where control has drifted

It also suits people who have moved, are between GP practices, or who simply want a second view on how their condition is being managed.

After your appointment

A written summary with target numbers

Not just what was discussed, but what you are aiming for and by when — a target blood pressure, an HbA1c range, a symptom threshold. A plan without numbers is difficult to act on and impossible to measure.

It is written to be shared with your NHS practice.

Know what you are still due, and get it free

Long-term condition care runs on recall systems, and privately obtained reviews sit outside them. Make sure you are still in the NHS recall for:

  • Diabetic eye screening — annual, free, and it prevents blindness. Non-attendance is a real and avoidable cause of sight loss
  • Diabetic foot checks — annual, and the single most effective thing for preventing amputation
  • Flu and pneumococcal vaccination, and shingles where eligible
  • Cervical, bowel and breast screening as they fall due

Nothing private substitutes for these, and they cost nothing.

Keep measuring at home

Where home readings are part of your condition, they matter more than clinic ones. For blood pressure that means the seven-day protocol with a validated upper-arm monitor and the right cuff size — the commonest source of a wrong reading is a cuff that is too small.

If treatment changed

Expect a specific review point. Blood pressure medication is reviewed at four to six weeks; a statin at three months with lipids and liver function; levothyroxine at six to eight weeks after any dose change.

Retesting earlier than that produces a number that has not finished moving.

Stay registered with an NHS practice

Said plainly because it matters: long-term condition care depends on structured recall, and no private practice replicates that. Use us for the unhurried review, the second opinion, or the question that never fits in ten minutes — alongside your practice, not instead of it.

What this service cannot do

This service complements NHS care; it does not replace it. We are clear about that, and the written summary is designed to be shared with your NHS GP rather than to work around them.

What we cannot do:

  • Access your NHS record, previous results or your GP's notes — bring what you have
  • Alter a prescription issued by another prescriber; we can recommend changes in writing
  • Carry out physical examination, foot checks, retinal screening or spirometry — all of which remain part of proper diabetes and respiratory care and must be done in person
  • Replace specialist follow-up for conditions under a hospital team

Some elements of a complete review must happen face to face. Diabetic foot and eye screening, for example, cannot be done remotely by anyone — we will tell you what you still need and where it fits.

Common questions

Does this replace my NHS annual review?

No, and it is not designed to. Your NHS practice runs the recall systems for screening, vaccination and the physical checks — diabetic foot and eye screening, spirometry — that cannot be done remotely by anyone.

What this adds is time. Twenty unhurried minutes to go through what your numbers actually mean, whether the dose is right, and the questions that never fit into a ten-minute slot.

Can you change my medication?

We can prescribe privately and we can recommend changes in writing. What we cannot do is alter a prescription issued by your NHS GP or a hospital team — only the prescriber can do that.

The written summary is designed for exactly that conversation, and a reasoned recommendation is usually what has been missing.

What actually gets checked?

Depends on the condition, and it is worth knowing what good looks like:

  • Type 2 diabetes — HbA1c, kidney function and urine ACR, lipids, blood pressure, weight, plus foot and eye screening in person
  • High blood pressure — home readings, kidney function and electrolytes, cardiovascular risk
  • Asthma and COPD — symptom control, exacerbations, inhaler technique, and a written action plan
  • Thyroid — thyroid function alongside symptoms, because the two do not always match
  • High cholesterol — lipids, liver function, and overall cardiovascular risk rather than the cholesterol number alone

Why do you want to see me use my inhaler?

Because technique is wrong in a large proportion of people who have used one for years, and it is rarely checked after the first prescription.

If the medicine is not reaching the lungs, the dose is irrelevant — and this is one of the few things a video consultation does genuinely better than a telephone one. Have the inhaler and any spacer with you.

My numbers are fine but I still feel unwell.

Worth taking seriously rather than being reassured by the printout. In thyroid disease particularly, symptoms and TSH do not always move together, and a result inside the range does not automatically mean the dose is right for you.

It is also worth checking what has not been looked at — iron, B12, vitamin D and sleep apnoea all produce symptoms attributed to a known condition.

I stopped taking one of them. Should I admit that?

Yes, and it changes the consultation for the better. Stopping a statin because of aches, or a blood pressure tablet because of swollen ankles, is common and usually solvable by switching to something else.

The alternative — a doctor increasing the dose of something you are not taking — is how people come to harm.

I am between practices or have just moved. Can you cover the gap?

Yes, and it is a sensible use of the service — particularly for keeping medication going and monitoring current while you register.

But register. Long-term condition care depends on recall systems for screening and vaccination that no private practice can replicate, and the gap is where things get missed.

How often should a review actually happen?

Annually as a minimum for most stable long-term conditions, and more often after any change — four to six weeks after a blood pressure change, three months after starting a statin, six to eight weeks after a thyroid dose change.

If your condition is not controlled, annual is not enough.

Dr Mohammad Zubair Khan, GMC-registered private GP and founder of Cheshire Clinics

Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469

Last reviewed

August 23, 2026

How it works

What happens when you book

£40 for a 20-minute appointment with a GMC-registered GP, 6am to 10pm, seven days a week. Membership is optional and never required.
Cheshire Clinics online GP appointment booking confirmation on mobile
01

Book your appointment

Pick a time that suits you — 6am to 10pm, seven days a week, including weekends and bank holidays. £40 for 20 minutes, self-pay, with no insurance to arrange.
5–10 minutes
Online video consultation with a GMC-registered private GP
02

Meet your GP

A 20-minute video or phone consultation with a GMC-registered GP — long enough for a proper conversation about your symptoms, your history and what matters to you.
20 minutes
Diagnostic testing plan including blood test panel, ECG and urine screening
03

Tests and referrals, if you need them

Where testing will actually answer the question, we arrange it — blood tests and health screening through our laboratory partner, or a referral for ultrasound, X-ray, CT or MRI through private imaging providers. We will also tell you when a scan is not the right next step.
1–7 days
Personalised results and treatment plan from a private GP consultation
04

Results and next steps

Your GP talks you through what the results mean and agrees the next step with you. Every consultation ends with your treatment plan in writing, and any prescription goes to your own pharmacy.
20 minutes
GP follow-up reminder for ongoing care and progress monitoring
05

Ongoing care and follow-up

Follow-up appointments, progress monitoring and ongoing advice — including saying plainly when something needs in-person or NHS care instead.

Ongoing

How we compare

Time to be seen

Appointment length

Your NHS record in the room

Written treatment plan

Told when a test isn’t needed

Cost

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

Questions about our service

How quickly can I be seen?

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.

Will I see the same doctor each time?

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.

Can you see my NHS records?

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.

Are you trying to replace my NHS GP?

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.

What is included in the appointment?

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.

How much does it cost?

£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.

What does “treatable online” actually mean?

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.

Can you prescribe antibiotics?

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.

What if the GP cannot help with what I need?

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.

What should I do in an emergency?

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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