Can you refer me on the NHS?
No — and this is the most important limitation to understand. Only a GP working within the NHS can make an NHS referral. Not for a fee, not urgently, not at all. Any private service implying otherwise is misleading you.
That includes urgent two-week-wait cancer pathways, which are NHS only. Where your symptoms warrant one, we will say so plainly and write to your NHS GP the same day — because that pathway is genuinely the right route and is usually faster than the private equivalent for what actually matters.
Do I actually need a referral to see a private consultant?
Most consultants require one, and most insurers insist on it. A few clinics accept self-referral, particularly in dermatology and physiotherapy.
Even where self-referral is possible, a proper letter is worth having. A specialist who receives your history, medication and results starts from a different place than one meeting you cold with twenty minutes to reconstruct it.
Will my insurance cover it?
Usually, but ring your insurer before booking anything. Most require pre-authorisation, issue a claim number, and restrict you to approved consultants and hospitals. Some exclude pre-existing conditions, and most exclude anything already being investigated when the policy started.
We can write the letter your insurer needs. We cannot promise what they will fund — only they can tell you that.
Can I choose my own consultant?
Yes, and you should. Name them and the letter is addressed to them. If you do not have someone in mind, the GP will suggest the right specialty and you pick from there.
Two things worth checking: their sub-specialist interest — within any specialty, consultants differ considerably in what they focus on — and their GMC registration, which is public and takes a minute.
What does seeing a specialist privately actually cost?
The initial consultation is typically the smallest part. Investigations, follow-up appointments and any procedure are all separate, and for anything requiring surgery or ongoing treatment the total can be considerable and is hard to predict at the outset.
Ask the clinic for the likely full pathway cost, not just the first appointment. If funding it would be a genuine strain, the NHS route is the better one and we would rather say so.
How quickly will I be seen?
Privately, usually days to a few weeks depending on specialty. That is the main advantage over NHS waits in most areas — though not all, and for some specialties in some regions the NHS wait is now short enough that paying adds little.
Can you refer me for a scan without seeing a specialist?
Often yes. Many private imaging providers accept a GP request directly, so an MRI, CT or ultrasound can frequently be arranged without a consultant appointment first — which saves both a step and a fee. We will tell you when that is the sensible route.
What if the specialist wants me to have surgery?
Take the time you need. A second opinion before any significant procedure is entirely reasonable and no surgeon should take offence at it. We can talk through what you have been told, what the alternatives are, and what questions are worth asking before you commit.