Twenty minutes to go through everything you take, why you take it, and whether you still need it.
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
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
Medicines accumulate. A tablet started for a short-term problem five years ago is still on the repeat list. A second drug was added to manage the side effects of the first. Nobody has looked at the whole picture in years, because nobody has had twenty uninterrupted minutes to do it.
Around one in ten people over 65 in the UK takes eight or more medicines, and the more you take, the higher the chance that at least one is doing more harm than good. A structured medication review is one of the highest-value things a GP consultation can do, and one of the hardest to get.
Upload a photo of your repeat prescription slip, or a list, when you book. Include supplements and anything you buy yourself. This lets us do the interaction work before we speak, so the consultation is spent on decisions rather than transcription.
We go through each item: what it is for, when it was started, whether it is working, and what side effects you notice. Your experience of the drug matters as much as the indication.
We agree what stays, what could reduce, what needs monitoring, and what should be discussed with your NHS GP or specialist — being clear about which is which.
You receive a summary within 10 minutes of the consultation ending, written so it is usable by another clinician.
The review is only as good as the list, and almost every list is incomplete. Fetch the actual packaging before the appointment rather than working from memory or a repeat slip alone.
"Which of these do you actually take?" — and an honest answer is the single most useful thing in the appointment.
Non-adherence is extremely common and entirely rational: side effects, cost, doubt, or simply too many tablets. What causes harm is a prescriber increasing the dose of something that was never being taken. Nobody is keeping score.
A drug prescribed to treat the side effect of another drug — and once you look for them they are everywhere. An ankle-swelling diuretic added because of amlodipine. A stomach protector for the pain the anti-inflammatory caused. A laxative for the constipation the codeine produced.
The right answer in a cascade is often removing the first drug rather than adding a fourth.
Omeprazole started for a two-week problem eight years ago. Amitriptyline never reviewed. Sleeping tablets that stopped working years back and are now simply a dependency. These are the commonest findings in a proper review, and none of them get picked up by a repeat-prescription system.
Expect questions about timing and food — levothyroxine on an empty stomach away from iron and calcium, bisphosphonates upright and fasting, iron away from tea. Small details that decide whether a medicine does anything at all.
It sets out the full list, the interactions found, anything without a current indication, and any recommended changes with the reasoning. It is written to be given to your NHS GP or pharmacist rather than to work around them.
We cannot change or stop a medicine prescribed by your NHS GP or a hospital team. Only the prescriber can alter their own prescription. What the summary does is put a clear, reasoned recommendation in front of them — which is frequently what has been missing, because nobody had twenty minutes to write it.
Take it to your practice and ask for a medication review appointment on the strength of it.
Several common medicines cause real harm if stopped suddenly — steroids, beta blockers, antidepressants, anti-epileptics, and benzodiazepines above all. Any change recommended comes with a tapering plan, and the plan matters as much as the decision. More on which and why.
Community pharmacists are experts in medicines and considerably easier to reach than any doctor. Many offer a free structured medicines review, and on interactions, formulations and dose adjustment they frequently know more than a GP does. Using both is better than either alone.
Book it rather than waiting until the next prescription is refused. Overdue monitoring is the commonest reason a repeat gets held up, and it compounds — a test due six months ago is a test due a year ago before long.
What this service can do: review, advise, identify problems, arrange monitoring bloods, and give you a written summary you can act on.
What it cannot do:
Never stop a prescribed medicine on your own after reading something here. Some drugs — steroids, beta blockers, antidepressants, anti-epileptics — are dangerous to stop abruptly. Any change we recommend comes with a safe plan for making it.
Not if someone else prescribed it — and this is the key thing to understand before booking.
Only the prescriber can change their own prescription. What we produce is a clear written recommendation with reasoning, which you take to your GP or specialist. In practice that is frequently the missing piece: the review has never been done, so nobody has put the case in writing.
Where we prescribe something ourselves, we can of course change it.
A drug prescribed to treat the side effect of another drug — and it is one of the commonest problems in medicine.
Amlodipine causes ankle swelling, so a diuretic is added. The diuretic causes gout, so allopurinol is added. Three drugs where the answer was to change the first one. Once you look for these patterns they turn up constantly, and a repeat-prescription system will never surface them.
Yes, and they are the most commonly omitted part of any list.
St John's Wort reduces the effectiveness of a long list of drugs including the contraceptive pill and some heart medicines. Fish oil, turmeric and ginkgo affect bleeding risk alongside anticoagulants. High-dose vitamin K works directly against warfarin.
Bring the tubs. "Just some vitamins" is not a list.
There is no fixed number, but risk of interactions and side effects rises steeply beyond about four regular medicines, and around one in ten people over 65 in the UK takes eight or more.
The right question is not how many but whether each one still has a current reason — and in a long list there is very often at least one that does not.
Very much so, and sooner rather than later. New dizziness, falls, confusion, fatigue or nausea after a medication change is a medication effect until shown otherwise — particularly in older people, where it is regularly mistaken for ageing or for a new condition.
Extremely common, and worth reviewing. Omeprazole started for a short problem years ago, amitriptyline nobody revisited, sleeping tablets that stopped working long ago — these accumulate silently because repeat systems reissue rather than reconsider.
Some genuinely still have a reason. Several do not.
Possibly, and we will say so. Community pharmacists are expert in medicines, many offer a free structured review, and on interactions and formulations they frequently know more than a GP.
Where a GP adds something is in reviewing whether the underlying condition still needs treating at all, and in arranging investigation. The two are complementary rather than competing.
Yes, and it is one of the highest-value uses of the service. They need to be present and to consent themselves if they have capacity — you can be there with them.
Where capacity is in question, that changes the framework and is worth raising when you book. Bring the boxes, the repeat slip and any recent hospital letters.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 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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