"Normal" is not an explanation. Twenty minutes to find out what your results actually say.
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You had blood tests. You were told they were normal, or that one value was "slightly out", and that was the end of it. You still feel unwell, and you still do not know what any of it meant.
This consultation exists for that. A GP goes through your results with you — what each one measures, what your number means in the context of your symptoms, which borderline values are worth acting on, and which tests were not done that perhaps should have been.
It works equally well for results from a private testing company, which frequently arrive as a colour-coded PDF with no clinician attached to it at all.
Upload PDFs, or clear photographs of paper results, when you book. Include the reference ranges and the units — laboratories differ, and a number without its range is not interpretable.
The GP reviews everything before the consultation, so the time is spent explaining rather than reading.
Your history matters as much as the numbers. The same result means different things in different people, which is precisely what a printed range cannot tell you.
What to do, what to repeat, when to repeat it, and what would change the picture.
A number without its reference range and units is not interpretable, and laboratories differ. Upload the full PDF rather than a screenshot of the flagged lines.
So the twenty minutes is spent explaining rather than scanning. That is deliberate and it is what makes the appointment worth having.
Expect a proper history, not just a walk through the printout. The same result means different things in different people — which is precisely what a printed reference range cannot tell you.
A ferritin of 25 is technically normal and is nowhere near enough for someone exhausted and losing hair. A TSH at the top of range means something different in someone with symptoms than in someone without.
Frequently the most useful part. A panel can be entirely normal and still not have looked for the thing causing your symptoms — coeliac antibodies not requested, ferritin not measured alongside a normal haemoglobin, B12 checked but not active B12, thyroid antibodies omitted.
A normal set of results is not a failed consultation. Knowing what has been excluded, and what has not, is useful — and where symptoms persist with normal tests, that itself points somewhere rather than nowhere.
What will not happen is a diagnosis manufactured to justify the appointment.
Covering what each result means for you, what to do, what to repeat and when, and what would change the picture. Very little of a results conversation is retained, so having it in writing matters more than it sounds.
Retesting too early is one of the commonest wasted expenses:
Where you are tracking something, use the same laboratory each time. Reference ranges and assay methods differ between labs, and a change that looks meaningful is sometimes just a change of provider.
Keep your own file of results with dates. Nobody holds your complete picture across NHS and private testing except you, and a trend is worth more than any single value.
With your consent we write to them. Privately obtained results do not appear in your NHS record unless you put them there, and a significant finding your GP does not know about is not doing its job.
That is a real situation and not a dead end. Several conditions have no abnormal blood test — migraine, IBS, fibromyalgia, ME, early perimenopause, and sleep apnoea among them, the last needing a sleep study rather than bloods.
Normal results narrow the field. They do not close the question, and the next step is usually a different kind of investigation rather than repeating the same panel.
We interpret results honestly, including when the honest answer is that they are genuinely reassuring. A normal set of results is not a failed consultation — knowing what has been excluded, and what has not, is useful information.
What we cannot do:
If a result you send is seriously abnormal, we will tell you immediately and direct you to urgent care — during the consultation, or before it if we spot it while preparing.
This is the single commonest reason people book it, and yes — for two reasons.
First, "normal" covers a very wide range. A ferritin of 20 sits inside most laboratory ranges and is nowhere near enough for someone exhausted and shedding hair. A B12 at the bottom of range can be symptomatic. Those are not abnormal results; they are results that need interpreting against a person.
Second, what was not tested is often the answer. Panels routinely omit ferritin, coeliac antibodies, thyroid antibodies or active B12 — and a normal panel that never looked for the cause is not reassurance.
Yes, and this is exactly what the service is for. Many direct-to-consumer panels arrive colour-coded with no clinician attached, which reliably produces anxiety about results that are of no consequence and complacency about ones that matter.
Send the full report with ranges and units.
No. You need to send them to us. You can obtain them free through the NHS App, your practice's online services, or by asking the surgery — you are entitled to your results and you do not have to give a reason.
Ask for the full report with reference ranges rather than a summary.
Yes, please. Normal results provide the context that makes an abnormal one interpretable, and patterns across a panel frequently mean more than any single flagged line.
Old results are valuable too. A value that has doubled while staying inside the range is far more interesting than a single number at the top of it.
We can explain the radiologist's report; we do not read the images ourselves. Reporting imaging is a radiologist's job and it would be wrong to pretend otherwise.
Explaining what a report actually means — and how much of it is an incidental finding of no consequence — is frequently the more useful conversation.
You will be told immediately. If we spot something seriously abnormal while preparing for the appointment, we will contact you before it rather than wait.
Where a result needs urgent action we will say so plainly, arrange what we can, and write to your NHS GP the same day where the right pathway is one only they can access.
Not always, and it would be dishonest to promise otherwise. Some symptoms have no abnormal test — migraine, IBS, fibromyalgia, ME and early perimenopause among them.
What the consultation reliably does is tell you what has been excluded, what has not been looked for, and what the sensible next step is. A diagnosis will not be manufactured to justify the fee.
Usually not, and we will say so. More markers is not better information. A large panel ordered without a question in mind produces borderline results that generate anxiety, further tests and occasionally an invasive investigation nobody needed.
The useful approach is deciding what question you are asking, then choosing the three or four tests that answer it.
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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