Is a private prescription cheaper or more expensive than the NHS?
It depends entirely on the drug, and the answer surprises people.
The NHS charge in England is a flat fee per item regardless of what the medicine costs. Many common generics cost a pharmacy only a few pounds, so a private prescription for them can come to less than the NHS charge. For expensive medicines the reverse is true, often by a wide margin.
If you are exempt from NHS charges, or live in Wales, the NHS route is free and nothing private will beat it. The same applies if you hold an NHS prepayment certificate.
Which pharmacy can I use?
Any pharmacy in the UK. You are not tied to one, and prices vary substantially between them because each sets its own. For anything you will take long term, comparing two or three is worth the effort.
What will you not prescribe?
Opioid painkillers, benzodiazepines, z-drugs for sleep, and stimulants — without exception. Remote consultation is not a safe setting for controlled drugs, and this applies to every patient regardless of history or circumstances.
We also do not initiate ADHD medication. See our position on shared care.
Can you continue something I was started on elsewhere?
Often yes, after assessment. Bring evidence of what you are on — a repeat slip, the boxes, a clinic letter. Continuing a treatment safely means knowing the dose, how long you have been on it, and what monitoring is due, and we cannot take that on trust for anything that needs blood tests.
Do you deliver the medication?
No. We are not a pharmacy and we do not dispense or deliver. You collect from a pharmacy of your choosing.
We would rather be plain about this than imply otherwise — some online services do deliver, and if that is what matters most to you, one of those may suit you better.
Do you earn anything from what you prescribe?
No. Cheshire Clinics has no financial arrangement with any pharmacy, and nobody here earns anything from what is dispensed.
It is worth asking any provider this question. Where a service prescribes and dispenses, there is an incentive that we simply do not have.
Can I get a prescription without a consultation?
No. A prescription follows an assessment. That is a GMC requirement and it is also the point — the value of a prescribing decision is the thinking behind it.
How long is the prescription valid?
Six months from the date of issue for most medicines. Take it to a pharmacy well before then, and note that a pharmacy may not stock something unusual on the day — ringing ahead saves a wasted trip.