Is a phone appointment worse than video?
For a large share of general practice, no — the history is what makes the diagnosis, and that transfers perfectly well by phone.
Where it is worse is anything visual: rashes, lumps, wounds, swelling, and how unwell someone looks. For those, video is meaningfully better and it is worth choosing it.
Do I pay less for a phone consultation?
No — it is the same £40, the same twenty minutes, the same doctor, and the same documents. The choice is about what suits the problem and your circumstances, not about cost.
Why do people choose the phone?
Usually one of four reasons: at work or between jobs with no private space for video, poor signal, driving to somewhere they can talk, or simply preferring not to be on camera.
That last one is a perfectly good reason. Some people speak considerably more freely without a camera on, particularly about mental health — and being able to talk properly matters more than being seen.
Can I still get a sick note or a prescription?
Yes — everything is identical. Sick notes, private prescriptions, referral letters, test requests and the written summary all follow exactly as they would from a video appointment, within about ten minutes.
Can I send photographs anyway?
Yes, and you should if there is anything visible. A good photograph sent in advance largely closes the gap between phone and video — daylight, flash off, one wide shot and one close-up.
For skin problems specifically, a well-taken photograph is arguably better than a live camera, because it can be looked at twice.
What if the GP decides they need to see me?
They will say so, and offer to switch to video there and then where the technology and your circumstances allow. If neither is possible, they will tell you what needs seeing and arrange it.
Where a consultation ends almost immediately because it plainly needed to be in person, we refund it.
Can I take the call while driving?
No. Pull over and park properly first. We will not conduct a consultation with someone at the wheel — it is unsafe and the consultation would be poor.
The same applies to walking down a busy street or sitting in a shared office. Twenty minutes somewhere private is what makes the appointment worth having.
Which problems should definitely be video?
- Any rash, lump, wound, swelling or changing mole
- Inhaler or injection technique, which needs watching
- An unwell child — how they look and breathe is most of the assessment
- Anyone unwell enough that colour, breathing effort or posture would inform the picture
- A first consultation about a new, undiagnosed problem