Membership Terms

Last updated 19 July 2026

These terms set out what the practice provides, what it charges, and what it does not do. The last of those matters most. A service you have never been offered cannot be expected of me at eleven at night, so everything the practice excludes is written here, plainly, and I will go through it with you before you join.

1. What the practice provides

The practice provides proactive medicine: the Assessment, a written health strategy, reviews across the year set by what your care needs, interpretation of your results over time, and a doctor who contacts you when the data warrants it. Membership runs on a direct line to me from 8am to 8pm, seven days a week, and it includes your children.

There is one membership, not a range of tiers. Membership is a fee for me: my time, my judgment, and a doctor who knows you and holds the thread of your health across the years. It does not buy tests. Every test, scan, referral and medicine is arranged at cost, with no markup, as set out in section 10.

2. The Assessment

Every member begins with the Assessment. It takes about half a day, in person. It includes a full history and clinical examination, the diagnostics I judge clinically useful for you rather than a fixed menu, phlebotomy for a broad blood panel, and a written health strategy delivered within a week.

The Assessment is part of your first year, not a separate charge. You pay the laboratory and any imaging at cost, like everything else. A healthy child has no need of it, so the Assessment applies to adults only.

You may also buy the Assessment on its own, before deciding about membership. It is £995 for one adult and £1,495 for a couple. If you join the practice within ninety days of that appointment, I credit the fee you paid in full against your membership. The ninety days run from the date of the appointment, not the date you booked or paid. The credit applies once, it is not transferable to another person, and it is not refundable in cash if you decide not to join.

3. Membership and fees

Membership is £4,000 a year for the first adult, or £400 a month. A second adult in the same household pays 75% of the first adult's rate, so a household of two adults is £7,000 a year, or £700 a month. Every child under 18 is included at no extra charge, however many you have. A household with more than four children is priced by agreement, and I will put that in writing before you join. The price is per adult because the work is per adult.

The rate you join at is held for two years. After that it rises in line with the Consumer Prices Index and nothing else. It never resets to the rate published for new members, and a change to that published rate never pulls up a rate you already hold. There is no registration fee.

You may pay monthly or annually, your choice, from the day you join. There is no minimum term and no tie-in. Either of us may end the membership by giving one month's written notice.

Any inflation rise after your two-year hold is limited to the Consumer Prices Index. I will give you sixty days' notice of it, and you may cancel without penalty within that period.

3a. Referral credit

If you refer someone who joins the practice and remains a member beyond three months, you and they each receive a credit equal to one month's membership fee. Where you pay annually, one month's fee means your annual fee divided by twelve.

The credit is applied against future membership fees, or against a practice invoice for tests, investigations or specialist care. It is not applied against the Assessment fee, because the credit is earned at three months of membership and the Assessment is paid before membership begins. The credit is not exchangeable for cash and it is not transferable to anyone other than the two people involved in the referral.

Where a membership ends before the credit has been used in full, any unused part lapses.

4. The first ninety days, and refunds

The first ninety days are a mutual decision. If you decide the practice is not right for you, or I decide I am not the doctor to help you safely, I refund your fee in full, less only the laboratory and imaging costs already incurred. You keep your assessment and your plan. Laboratory and imaging costs already spent are not refundable, because they are third-party costs I have paid on your behalf.

After ninety days, you may cancel at any time on one month's written notice. If you have paid annually, I refund the part of the year you have not used. I work out the monthly value of your fee by dividing what you paid for the year by twelve, count the whole months you have been a member, keep that share, and return the rest within fourteen days. You are only ever charged for the months you have actually had.

5. Access, reviews and same-day assessment

Membership includes a direct line to me from 8am to 8pm, seven days a week, answered within an hour on weekdays and within three hours in the evening and at weekends. Within those hours, a same-day assessment by phone or video is included when you are unwell. Anything that cannot be assessed remotely is seen in person.

Your reviews are held as often as your care needs them, from every few months to monthly while a medication is being adjusted.

6. Home visits, clinical indication and zones

A home visit is included, at no charge, where I judge that one is clinically indicated, up to twelve a year. Clinical indication is a clinical decision and it is mine to make. That is what keeps the home visit clinical rather than contractual.

Zones are set by drive time from my base, rather than by distance. Zone 1 is up to 30 minutes' typical drive. Zone 2 is 30 to 60 minutes. Beyond 60 minutes, membership and every remote part of it remain fully available, and home visits are excluded rather than negotiated on the day. Your zone is fixed once, at joining, and if you move we agree your new zone in writing.

7. Messaging and fair use

Membership includes a direct line, scoped to you, your family, your results and your plan. Fair use applies: anything that needs a history or an examination becomes a consultation, at my judgment. The line is not a route to urgent or out-of-hours care and is not monitored outside the hours in section 5.

8. Prescribing and documents

Private prescriptions, referral letters, fit notes and reports that arise from your care are part of your membership, and writing them is included. Any medicine is dispensed by a pharmacy of your choice, and you pay that pharmacy directly at whatever it charges; I neither handle nor add to that cost. No fit note, prescription, referral or report is issued without a clinical assessment.

This practice does not prescribe controlled drugs, with two defined exceptions.

Testosterone is a Schedule 4 Part 2 controlled drug. Where there is a clear medical reason, I prescribe and manage testosterone replacement under Sentinel, kept in a healthy range and monitored closely, as set out in section 11. I don't prescribe testosterone on request alone.

Schedule 5 preparations, such as co-codamol, I'll prescribe as a single short course where it's clinically appropriate. Repeats aren't issued by this practice, and your NHS GP handles them.

Every other controlled drug sits outside this practice in all circumstances. That includes opioids, stimulants, benzodiazepines, sleeping tablets, gabapentin and pregabalin, whoever started them. Where you need one of them, I'll tell you plainly and refer you to somebody who prescribes it properly.

9. What the practice does not provide

The following are not available to members at any price.

• Urgent and emergency care, overnight care, and any out-of-hours service.
• Maternity care, addiction services, and the management of complex mental illness.
• Controlled drug prescribing, other than testosterone under Sentinel and one-off Schedule 5 courses, as set out in section 8.
• Microsuction for earwax removal.
• Medico-legal reports and expert witness work.

Where you need any of these, I will tell you plainly and refer you to somebody who does them properly.

Some services sit outside membership, but I can provide them on request at a fee I quote you before I go ahead: joint injections, including corticosteroid and PRP; DVLA and HGV medicals; pre-employment screening; and drug and alcohol testing. These are charged separately and are not part of the membership fee.

10. Every test is at cost

Your membership pays for me: my time, my judgment, and a doctor who knows you and is watching between the moments you notice something. Every laboratory test, scan, consultant fee, and any vaccine or drug I administer directly, including those in the Assessment, is passed to you at cost, with no markup, evidenced on request. Nothing I refer out carries a margin. I am paid for my care and my clinical judgment, not for marking up other people's invoices. What you spend on tests depends on your assessment and your care, and is billed to you separately at the price I am charged.

11. Sentinel hormone monitoring

Sentinel is a separate monitoring and harm reduction service for men using testosterone or other performance compounds. It is £250 a month, or £125 a month for an existing member, with every test at cost. Where there is a clear medical reason, this practice prescribes and manages testosterone replacement as part of Sentinel, kept in a healthy range and monitored closely. What it does not do is prescribe or supply the performance or anabolic compounds, or advise on cycles, doses or stacks. Its scope, consent and liability are its own, and it is never folded into membership. Full terms are on the Sentinel page and in its own service agreement.

12. Absence and cover

I take leave. Planned absence is notified to you at least fourteen days ahead. During absence, cover is provided by a named private GP with access to your record, under a reciprocal arrangement. Response commitments in these terms pause during notified absence, which is capped at six weeks a year.

13. Your NHS registration

Membership of this practice does not replace your NHS GP, and I strongly recommend that you stay registered with one. I still practise in the NHS, and I will write to your NHS GP whenever it is in your interest, with your consent.

14. Complaints and data

Concerns are handled under the Complaints Procedure. Your information is handled under the Privacy Policy. Both form part of these terms.

15. Your statutory rights

Nothing in these terms removes or reduces the rights you have in law. Because you join at a distance or away from my premises, you have a statutory right under the Consumer Contracts Regulations 2013 to cancel within fourteen days of joining, for any reason. If you ask me to begin your care within that period and then cancel, I may charge for what has already been provided, including any laboratory and imaging costs incurred. This right sits alongside the ninety-day mutual-fit refund in section 4, and where they differ, whichever is more favourable to you applies.

16. Governing law

These terms are governed by the law of England and Wales, and the courts of England and Wales have exclusive jurisdiction.