Same-day assessment and treatment for UTIs and thrush — two things nobody wants to wait a week for.
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
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Registered with the Care Quality Commission
These are the conditions where waiting matters most and waits are often longest. Both can usually be assessed and treated the same day.
Uncomplicated urinary tract infections are typically treated with a short antibiotic course. Thrush is treated with an antifungal, either topical or oral.
UTI symptoms in pregnancy, in men, and in children are treated differently and may not be suitable for remote management. The GP will tell you if that applies.
We prescribe them where infection is genuinely likely, and not otherwise. Unnecessary antibiotics drive resistance, cause thrush, and do not help — declining is not us being unhelpful.
Thrush, bacterial vaginosis and urinary infection are frequently confused, including by people who have had them before. They need different treatment, and treating the wrong one delays relief.
Uncomplicated UTI usually responds to a short antibiotic course. Thrush responds to a topical or oral antifungal.
Recurrent infection is a reason to look for a cause, not a reason for repeated courses of antibiotics. Two or more in six months warrants investigation.
Antibiotics can cause nausea, diarrhoea and thrush. We prescribe them only where an infection is genuinely likely — unnecessary antibiotics drive resistance and are not a kindness.
Fever, back or flank pain, vomiting, confusion, or blood in the urine may indicate a kidney infection or something more serious, and needs urgent in-person assessment.
UTI symptoms in pregnancy, in men, and in children need particular care and may not be suitable for remote treatment.
An uncomplicated UTI treated with the right antibiotic improves within a couple of days. Thrush usually settles within 3–7 days of an antifungal, though soreness can lag behind.
If symptoms are not improving within 48 hours, or are worsening at any point, come back rather than waiting out the course. Either the organism is resistant, or it is not what we thought.
Even once you feel better. Stopping early is a common cause of early recurrence.
Two or more UTIs in six months, or three in a year, warrants looking for a cause rather than another course of the same antibiotic. That is a different appointment with a different purpose.
After the menopause, vaginal oestrogen substantially reduces recurrence and is one of the few interventions with genuinely good evidence — yet many women have years of repeated antibiotics without ever being offered it.
Four or more episodes a year needs a longer maintenance regimen rather than repeated single doses, and it warrants checking blood sugar, since recurrent thrush can be the first sign of diabetes.
Drink plenty, and take simple painkillers. Ibuprofen or paracetamol help considerably with UTI discomfort.
Avoid soaps, bubble bath and wipes entirely for thrush and vulval irritation — many products marketed for "feminine hygiene" cause exactly the symptoms they claim to treat.
If Pharmacy First is available where you are, use it. We would rather say so than take a fee for something free.
Thrush, bacterial vaginosis, UTI and vulval skin conditions are frequently confused — including by people who have had them before.
UTI symptoms in men, in pregnancy, and in children are managed differently — longer courses, different antibiotics, and a lower threshold for investigation. UTI in a man is not treated as uncomplicated, and warrants assessment of the prostate and urinary tract.
£40 for the consultation, usually same-day, with the prescription included.
NHS Pharmacy First covers uncomplicated UTI in women aged 16–64 at many pharmacies: free, no appointment, and often faster than us.
Thrush treatments are available over the counter for a few pounds if you have had it before and recognise it.
If either applies, that is what we would tell you to do. This is not a page trying to sell you an appointment.
The antibiotics and antifungals used here are among the cheapest medicines there are. We earn nothing from what is prescribed, which matters more than usual with antibiotics — a service paid per prescription has a reason to issue one.
For recurrent UTIs after the menopause, vaginal oestrogen. It is inexpensive, it substantially reduces recurrence, and it prevents years of repeated appointments and antibiotic courses.
Prescribe antibiotics where infection is not genuinely likely. Unnecessary antibiotics drive resistance, cause thrush, and do not help — and declining is not us being unhelpful.
We sell no tests, supplements or "UTI prevention" products.
Usually within hours — but check a pharmacy first. NHS Pharmacy First supplies antibiotics for uncomplicated UTI in women aged 16–64 free and without an appointment, and it is often faster than booking anything.
Fever, shivering, back or flank pain, vomiting, or confusion. Those suggest the infection has reached the kidney, which can become serious quickly and needs in-person assessment.
In older people, confusion or sudden drowsiness is often the only sign — more prominent than any urinary symptom.
Thrush — itch, soreness, thick white discharge, no smell.
Bacterial vaginosis — thin grey discharge with a fishy odour, often little itch. It needs an antibiotic, and antifungals will not touch it, which is why repeated thrush treatment that never works is usually BV.
Worth considering an STI too, which is free to test for through NHS sexual health services, including postal kits.
Because where infection is not genuinely likely, they do not help — and they cause harm. Resistance, thrush, diarrhoea, and the risk of missing what is actually wrong.
We earn nothing from prescribing, which is worth knowing: a service paid per prescription has a financial reason to issue one.
Come back rather than finishing the course and hoping. Either the bacteria are resistant to that antibiotic, or the diagnosis needs revisiting.
And go straight to urgent care if you develop fever, back pain or vomiting.
Two or more in six months means investigating rather than repeating the same treatment.
After the menopause, vaginal oestrogen substantially reduces recurrence and is markedly under-used — many women have years of antibiotics without ever being offered it. Other options include methenamine hippurate and standby or preventive antibiotics.
The evidence is weak and inconsistent. Not harmful, and possibly of some benefit for some people — but not a substitute for treating the underlying cause, and not something to spend a great deal on.
Four or more episodes a year needs a longer maintenance regimen rather than repeated single doses.
It also warrants checking your blood sugar — recurrent thrush can be the first sign of diabetes — and reviewing antibiotics, steroids and, occasionally, whether it is actually thrush at all.
Possibly, but it is assessed differently. UTI in a man is never treated as uncomplicated — it needs a longer course and assessment of the prostate and urinary tract, and it may need in-person care.
UTI in pregnancy is treated more carefully — different antibiotics, and it matters more, since untreated infection carries risks for the pregnancy.
Tell us you are pregnant at booking. Your midwife or maternity unit may be the better route, and we will say so.
Plenty of fluid, and paracetamol or ibuprofen, which help more than people expect.
For thrush and soreness: stop soaps, bubble baths and wipes entirely. Several products sold for "feminine hygiene" cause the symptoms they claim to treat.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
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Told when a test isn’t needed
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20 minutes
Yes, with your consent
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£40 for 20 minutes
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Typically 10 minutes
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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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