Membership Terms

Last updated 28 August 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 also covers your annual panel, which is included every year and never billed on top. Beyond that panel, every additional test, scan, consultant fee and medicine is arranged at cost with no markup, and making a referral carries no charge of its own, 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, phlebotomy and the standard annual panel, and a written health strategy delivered within a week.

The Assessment is part of your first year, not a separate charge, and the panel is included in the fee. Anything I judge worth adding beyond the panel, including imaging, is a clinical decision rather than a fixed menu: I tell you what it is, why it matters and what it costs, and I order it only if you agree. It is then charged at cost, as set out in section 10. 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 £1,750 for one adult and £3,000 for a couple. If you join the practice within thirty days of receiving your written plan, I credit the fee you paid in full against your membership. The thirty days run from the date you receive the written plan, not the date of the appointment, the date you booked or the date you paid. Where you pay annually, the credit comes off your first year's fee. Where you pay monthly, it is spread evenly across your first twelve months rather than taken as free months at the start. The credit applies once, it is not transferable to another person, and it is not refundable in cash if you decide not to join.

2a. The First Visit

The First Visit is a shorter, separate service you may buy before deciding about anything else. I come to your home for an evening. I take a full history, measure your blood pressure, your height and your waist, read whatever results, letters and records you already hold, go through your medicines and supplements, map your family history, and check your screening against what applies to you. There is no blood panel and no full physical examination. You keep a written summary the same evening.

It is £550 for one adult and £750 for a household of two adults. Beyond about an hour's drive a travel charge is agreed before anything is booked.

If you go on to buy the Assessment, or to join the practice, within thirty days of receiving your written summary, I credit the fee you paid in full against whichever you buy. The thirty days run from the date you receive the summary, not the date of the visit or the date you paid. Where the credit carries on to membership through the Assessment, the total credited against your first year is never more than the Assessment fee itself. The credit applies once, it is not transferable to another person, and it is not refundable in cash if you decide to go no further.

3. Membership and fees

Membership is £4,800 a year for the first adult, or £480 a month. A second adult in the same household pays 75% of the first adult's rate, so a household of two adults is £8,400 a year, or £840 a month. Two children under 18 are included at no extra charge. Each additional child under 18 is £50 a month, or £500 a year, charged with your membership and stopping on the day that child turns 18. The price is per adult because the work is per adult.

The rate you join at is held for three 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 three-year hold is limited to the Consumer Prices Index. I will give you sixty days' notice of it, and you may cancel 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 every fee you have paid me, including the Assessment fee and any First Visit fee where they were credited against your membership. The one deduction is laboratory and imaging already done, at the price I was charged, because that money went to them and not to me. That includes your annual panel if you have already had it, and tests done but not yet invoiced. You keep your assessment and your plan.

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.

This ninety-day refund is part of membership. It does not apply to Sentinel, which runs on its own terms in sections 11 and 15.

5. Access, reviews and same-day assessment

Membership includes a direct line to me from 8am to 8pm, seven days a week, answered the same day. 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 at least quarterly, and more often when your care needs it, up to monthly while a medication is being adjusted.

5a. The same-day answer, and what happens if I miss it

A call or a message to the direct line between 8am and 8pm is answered by me the same day. If I miss that on a day you needed me, tell me and I credit you a month of your fee. You do not have to argue the point and I do not decide whether it counted; if you say I missed it, I missed it.

That is a promise about my answering, not about the medicine. It does not apply where you have contacted me outside those hours, where you have used a channel other than the direct line, or where planned cover has been notified to you in advance under section 7.

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.

A home visit within about an hour's drive of my base carries no travel charge. Beyond that a visit is still available and a travel charge applies, agreed with you before I set off rather than added afterwards. Distance is measured by typical drive time rather than by miles, and if you move we agree the position again 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. Outside the hours in section 5 I often see what comes in and will act on anything that plainly cannot wait, but nothing outside those hours is promised, and urgent care remains 999, 111 and the NHS.

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 because they are not part of your medical care. 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; aviation, maritime and diving medicals; visa and immigration medicals; occupational health work, including pre-employment screening and fitness-to-work assessment; and drug and alcohol testing. These are charged separately and are not part of the membership fee.

10. What your fee covers, and what passes through 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. It also pays for your annual panel, once a year, for each adult on the membership, included in the fee and never invoiced separately. Your annual panel means the standard panel I run for every adult member each year. Its current contents are published on the assessment page, and I will tell you if they change.

Everything beyond that panel is passed to you at cost, with no markup, evidenced on request: additional laboratory tests, scans, consultant fees, and any vaccine or drug I administer directly. What you pay is the price on the provider's invoice to me. Nothing beyond the panel is ordered until I have told you what it costs and you have agreed to it. Nothing I refer out carries a margin. Making a referral is part of your membership and carries no charge of its own. Where you see a specialist, their fee is theirs and you pay them for it. Any investigation I recommend may be arranged through my providers or by you, whichever you prefer, and I read the results either way. I am paid for my care and my clinical judgment, not for marking up other people's invoices.

11. Sentinel hormone monitoring

Sentinel is a separate monitoring and harm reduction service for men using testosterone or other performance compounds. It is £180 a month, and the first three months are payable in advance. An existing member pays £90 a month from the start, monthly, with no initial term. After the first three months you carry on month by month and may end it on one month's written notice. Every test is 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 three weeks ahead. For the most part I stay contactable while I am away and answer your calls and messages as usual. Where I cannot, whether because of a time difference or because I am the one who is unwell, another GP with access to your record covers me under a standing arrangement, and you are told who is covering at the time. Anything that needs seeing in person is seen by that colleague, fully briefed on you. My response commitments in these terms pause only where there is a practical reason I cannot provide the service myself, and the covering doctor carries them while they do.

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 the cost of any tests already done.

Under Sentinel, the first three months are paid in advance. If you cancel within those fourteen days, I refund what you have paid, less the care already provided and less the cost of any tests already done, including tests you have not yet been invoiced for.

This right sits alongside the ninety-day mutual-fit refund in section 4 where you are a member, 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.