An unhurried consultation for anxiety, low mood, stress and sleep problems, with treatment or referral arranged as needed.
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
Twenty minutes with an unhurried clinician makes a real difference when you're trying to describe how you feel.
The GP can start treatment where appropriate, or refer you on if specialist input would serve you better.
"I don't feel right" is a perfectly good reason to book. You do not need to have worked out what is wrong first.
Twenty minutes matters here more than anywhere. The first answer to "how are you" is rarely the true one, and a ten-minute appointment usually ends before the second.
Talking therapy, medication, practical changes, or investigation of a physical cause. Frequently more than one.
Particularly important in the first few weeks of any new treatment, when things can briefly feel worse before improving.
"I don't feel right" is a complete and legitimate reason to book. You are not expected to arrive with a diagnosis, a coherent narrative, or an explanation of why you feel as you do. Working that out is the job of the appointment, not a prerequisite for it.
Almost everyone opens with a version that is tidier than the reality. Twenty minutes exists so there is room for the second answer — and it is the one that usually matters.
Expect some silence. It is deliberate, and it is not the GP waiting for you to hurry up.
Sleep, alcohol, drugs, caffeine, what you eat, whether you exercise, what changed and when. These are not filler. They are frequently where the answer is, and several physical conditions produce a picture indistinguishable from depression — thyroid disease, iron and B12 deficiency, vitamin D, perimenopause, and untreated sleep apnoea among them.
Expect blood tests to be offered. Finding nothing is itself useful: it clears the ground.
Everyone is asked. It is not a judgement about you, and asking does not plant the idea — that belief is well studied and false. It is asked because it is the most important question in the consultation and because it cannot be inferred from how someone looks.
An honest answer is safe to give. If you say you are at risk, the GP will tell you exactly what they intend to do rather than acting around you.
Talking therapy, medication, practical changes, treating a physical cause — often more than one. You will not be handed a prescription because it is quicker, and equally you will not be talked out of medication if it is what would help.
Please do not wait for an appointment. Call 999 or go to A&E if you are in immediate danger. Call 111 for urgent advice, or the Samaritans on 116 123, free, any time, day or night.
Severe depression, psychosis, bipolar disorder and complex risk need in-person specialist care. The GP will tell you honestly if that applies and help you get there.
Three things are worth knowing, and knowing them in advance is what gets people through the first fortnight:
NHS talking therapies can be self-referred without going through a GP at all — free, and you do not need anyone's permission. We will tell you the route rather than gatekeep it.
Where a private therapist suits you better, look for BACP, UKCP or BABCP accreditation. The evidence is consistent that the relationship with the therapist matters more than the modality, so it is reasonable to try someone else if the first does not fit.
You will be offered review — typically within two weeks of starting or changing anything. Take it. The early weeks are when treatment is adjusted and when problems are caught, and they are also when people are least inclined to get in touch.
Do not wait for the appointment.
You are under no obligation to tell your employer anything beyond what a fit note states — and a certificate can record "a mental health condition" rather than a specific diagnosis if you prefer. Ask during the consultation.
If you are at immediate risk, do not wait for an appointment. Call 999 or go to A&E. For urgent advice call 111 and choose the mental health option, or the Samaritans on 116 123, free, at any hour. If you tell us during a consultation that you are at risk, we will act on it, and we will tell you what we are doing.
Medication we do not start at a remote consultation: benzodiazepines such as diazepam, z-drugs for sleep, and stimulants for ADHD. Stimulants and opioids we do not prescribe at all. These are controlled or dependence-forming, and a first remote appointment is not a safe setting to start them. This is not a judgement about you — it applies to everyone.
What needs a service we are not:
If you are already under a community mental health team or a psychiatrist, changes should go through them. Parallel prescribing from two directions is how people come to harm. We will happily review, explain and support — but we will talk to your team rather than around them.
No. Medication is one option among several and it is not the default, particularly for milder symptoms where talking therapy performs at least as well.
Where it is right, it is genuinely effective and being offered it is not a failure. Where it is not, you will get a reason rather than a prescription.
No. If something is working, the sensible thing is usually to continue it. What we will do is review whether the dose is right, whether it is still needed, and whether side effects are being tolerated unnecessarily — sexual side effects in particular are extremely common, badly under-reported, and frequently fixable by a switch.
Because several ordinary physical conditions produce a picture that is genuinely indistinguishable from depression: an underactive thyroid, iron deficiency, low B12 or vitamin D, perimenopause, and untreated sleep apnoea.
Treating those treats the mood. Missing them means treating a symptom of something else for months, and it happens often enough to be worth a blood test.
You will be asked, and everyone is. Not because of anything about you specifically — because it cannot be inferred from appearance and it is the single most important thing in the consultation.
Asking does not plant the idea. That is a persistent belief and it has been studied repeatedly and found to be untrue. Most people find being asked directly a relief.
If you say yes, the GP will discuss what happens next with you. Nobody is sectioned for answering honestly.
Consultations are confidential. Nothing goes to your employer, your insurer or your NHS GP without your explicit consent, with the narrow exceptions that apply to every doctor in the country — a serious risk to you or to someone else.
If a fit note is needed, the wording can record a mental health condition in general terms rather than a specific diagnosis. Ask.
No — and be wary of anyone offering it in twenty minutes. Both require structured diagnostic assessment, evidence of symptoms in childhood, and usually collateral information from someone who knew you then.
What we can do is discuss whether assessment is warranted, screen for the conditions that mimic it, and explain the NHS Right to Choose route — which is free, is a legal right in England, and which most people have never heard of. More on that here.
Not sleeping tablets — no z-drugs and no benzodiazepines, at a remote consultation, for anyone. They are dependence-forming, they stop working within weeks, and withdrawal from them can be dangerous.
What genuinely works for persistent insomnia is CBT for insomnia, which outperforms medication in trials and holds its effect after treatment stops. There are free and app-based versions and we will point you at them.
Changes should go through them. Parallel prescribing from two directions is a well-recognised way for people to come to harm.
We will happily review, explain and support — and where we think something needs changing we will write to your team rather than act around them.
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.
Patient reviews
