An asthma review including inhaler technique, control assessment and a written action plan.
Assessed and prescribed by a GMC-registered GP
Prescriptions sent electronically to a pharmacy
Monitoring and follow-up included where it is needed
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
Most poor asthma control comes down to two things: inhaler technique, and relying on the reliever instead of the preventer. Both are fixable in a single unhurried appointment.
Video is genuinely useful here — the GP can watch your technique, which is not possible over the phone.
The review covers how often you use your reliever, night-time symptoms, exercise limitation and recent flare-ups, followed by a technique check and a written action plan.
A first diagnosis of asthma requires objective testing — spirometry or FeNO — which cannot be done remotely. We can arrange referral.
How often you use your reliever, whether symptoms wake you, whether exercise is limited, how many flare-ups this year. Using a reliever more than twice a week means control is inadequate, whatever else you think.
A large proportion of people use their inhaler incorrectly and get a fraction of the dose. This is fixable in five minutes and often solves the problem entirely.
Reliever inhalers treat symptoms. Preventers treat the disease. Relying on the blue inhaler is the pattern that precedes most serious attacks.
What to do when symptoms worsen, and at what point to seek help.
All of them, including ones you have stopped using. The GP needs to see what you have and watch you use it.
Inhaled steroids can cause oral thrush and hoarseness, largely preventable by rinsing your mouth afterwards and using a spacer.
Acute asthma is an emergency, not a consultation. If you are too breathless to speak in full sentences, your reliever is not working, or your symptoms are worsening rapidly, call 999.
A first diagnosis of asthma requires objective testing we cannot perform remotely.
Answer these honestly rather than optimistically — people consistently underestimate how badly controlled their asthma is, because they have adjusted their life around it.
Any "yes" means control is inadequate, regardless of how normal it feels.
Track how many reliever inhalers you get through in a year. More than three is a recognised marker of poor control and of increased risk.
Relying on the blue inhaler is the pattern that precedes most serious asthma attacks. It relieves symptoms without touching the inflammation causing them.
Technique drifts. A large proportion of people get a fraction of the dose, and it takes five minutes on camera to correct.
Deaths from asthma in the UK are frequently preventable, and the recurring pattern is under-recognition of severity. Err on the side of calling.
Hay fever, which makes asthma harder to control; reflux; smoking and vaping; and weight. Beta blockers and NSAIDs can worsen asthma in some people, so any new medicine is worth mentioning.
Before changing any medicine: a large proportion of poor asthma control is inhaler technique, and correcting it is free. Adding a spacer improves delivery substantially, is inexpensive, and helps everyone using a metered-dose inhaler.
Asthma care is free on the NHS and structured around annual review — practice nurses run these, and prescriptions are free for anyone with a medical exemption certificate.
If you are registered with a GP, that is the cheaper and better-integrated route, and we will say so. What we offer is speed, an unhurried appointment, and time to watch your technique properly.
Diagnose asthma for the first time. That requires objective testing — spirometry or FeNO — which cannot be done remotely. We can refer.
Inhalers vary considerably in price, and combination inhalers cost more than the older separate ones. We earn nothing from what is prescribed. Ring around — differences between pharmacies on inhalers are not small.
Spacers are inexpensive and worth having. They improve delivery more than most treatment changes do.
If you are registered with an NHS GP, asthma care there is free and structured — annual reviews, technique checks, and repeat inhalers.
And in England, asthma requiring continuous preventer treatment qualifies you for a medical exemption certificate, which makes all your NHS prescriptions free. Many people entitled to one have never applied.
We would rather tell you that than sell you a private prescription for something you could get free.
Rationing your preventer to save money is the most expensive thing you can do — it leads to flare-ups, steroid courses, admissions, and worse. If cost is stopping you taking it, say so, because there are usually answers: exemption certificates, prepayment certificates, and cheaper equivalent devices.
Four questions. Reliever more than twice a week? Symptoms waking you at night? Exercise limited? Steroids or emergency care in the past year?
Any yes means it is not well controlled, however normal it feels. People adjust their lives around asthma and stop noticing.
Because the reliever treats the symptom and the preventer treats the disease.
The blue inhaler opens the airways for a few hours and does nothing about the inflammation causing the problem. Relying on it is the pattern that precedes most serious asthma attacks — and it is why current guidance moved away from blue-inhaler-alone treatment.
More than three is a recognised marker of poor control and of increased risk. It is one of the most useful things you can count.
Statistically, probably not — and it is the commonest fixable cause of poor control. This is exactly why video is worth using: the GP can watch you.
A spacer improves delivery substantially with a metered-dose inhaler, and it reduces thrush and hoarseness.
Yes — inhaled steroid doses are small and act locally, which is quite different from repeated courses of oral steroids.
Undertreated asthma is considerably more dangerous than a preventer inhaler. Thrush and hoarseness are the usual side effects, and both are largely prevented by a spacer and rinsing your mouth afterwards.
Feeling well is what the preventer is doing. Stopping it lets the inflammation return, usually over weeks, and the flare arrives later when you have forgotten why.
Stepping down is sometimes appropriate — but as a planned decision at a review, not a unilateral one.
No, and nor can any remote service. A first diagnosis needs objective testing — spirometry or FeNO — which cannot be done by video. We can refer for it.
Call 999 if: too breathless to speak in full sentences, the reliever is not working or is needed more often than every four hours, lips or fingers turning blue, or symptoms worsening quickly.
UK asthma deaths are frequently preventable, and the recurring theme is under-recognising severity. Err on the side of calling.
Considerably — they are closely linked, and treating the nose improves the chest. Uncontrolled allergic rhinitis makes asthma measurably harder to control.
Yes — everyone with asthma should have one, and many people have never been given one. People with a plan are significantly less likely to need emergency care.
It sets out what to take daily, what to do as symptoms worsen, and the point at which to seek help.
Less harmful than smoking, but not harmless — and vaping can itself trigger asthma symptoms.
Stopping both is the single most effective thing you can do, and NHS stop smoking services are free and roughly triple your chances.
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
