Membership Terms
Last updated 10 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.
This practice does not provide urgent, emergency or out-of-hours care.
If someone is seriously unwell, call 999. If something cannot wait until morning, call 111 or the NHS out-of-hours service. Those services exist and they are good at what they do.
1. What the practice provides
The practice provides proactive medicine. That means a comprehensive assessment, a written health strategy, scheduled reviews across the year, interpretation of your results over time, and a doctor who contacts you when the data warrants it. For member families it also includes a same-day acute assessment when a child or adult is unwell, within the window described in section 4.
The practice is members-only. A small number of Comprehensive Assessments are made available each month to people who are considering membership. Everything else on the fee schedule is available to members.
2. The Comprehensive Assessment
The assessment is a half day, in person. It includes a full history and clinical examination, a resting 6-lead ECG, body composition analysis, heart rate variability assessment, a blood pressure profile, phlebotomy for the baseline panel, spirometry where indicated, and a written health strategy delivered within five working days.
Laboratory fees are charged separately, at cost, and typically come to £120 to £280 depending on the panel.
The assessment does not include treatment of anything found, beyond immediate advice and onward referral, unless you join the practice. If you join within 90 days of the assessment, the fee is credited against your membership in full.
The family assessment covers two adults and up to two children under 16, assessed in a single extended visit. Each adult receives a written summary. The children are assessed appropriately to age and covered in a family summary.
The credit follows what you join. A family assessment credits in full against a family membership. If you take an individual membership instead, the credit is capped at the price of the individual assessment, and the balance stands as paid for the work done on the rest of the family. An individual assessment credits in full against either an individual or a family membership.
3. Membership, fees and registration
Proactive membership is £245 a month for an individual and £395 a month for a family, or £2,450 and £3,950 paid annually. Managed membership is £595 a month for an individual and £795 a month for a family, or £5,950 and £7,950 paid annually. Sentinel is £349 a month for an individual, or £3,490 annually, and £249 a month where you also hold a Managed membership.
A registration fee of £195 for an individual and £295 for a family is payable on joining. It is waived where you pay annually. Where you already hold a Managed membership and add Sentinel, no second registration fee applies, provided the Sentinel baseline takes place within 90 days of your Managed assessment. Outside that window, the Sentinel registration fee applies, because the baseline work is then done separately.
Monthly memberships run for a minimum of three months and then continue until cancelled. Either of us may end a monthly membership by giving one month's written notice after the minimum term.
Annual memberships run for twelve months. You may cancel an annual membership early, and I will refund it on a fair, netted basis. I charge the equivalent monthly rate for each month you have held the membership, deduct the list price of the assessment and of any diagnostics already delivered, and reinstate the registration fee that the annual term had waived. Whatever remains is returned to you within fourteen days. This means you are never locked in, and you never receive a half-day assessment and a set of tests for the price of a month or two.
Fees are reviewed annually. I will give you sixty days' notice of any increase, and you may cancel without penalty within that period.
4. The acute assessment mechanism
The included acute benefit is a same-day assessment by video, not a home visit. Video is clinically adequate for the large majority of acute presentations, because what I assess is work of breathing, hydration, alertness, rash, and your own read on the person in front of you. Anything that cannot be assessed remotely is seen in person.
Same-day assessment applies to requests received before 4pm on a working day, with an evening triage window between 6pm and 8pm on weekdays. Saturday morning practice hours, 9am to 1pm, carry a same-day video assessment on the same basis, with no home visits. Outside these windows, meaning every night, every Sunday, and all bank holidays, the practice provides no acute cover, and the route is 111 or 999.
Proactive members receive four acute video assessments a year for an individual and six across a family. Managed members receive six and eight. Assessments beyond the allowance are charged at the member rate. Allowances run per membership year and do not roll over.
5. Home visits, clinical indication and zones
A home visit is included, at no charge, where I judge that one is clinically indicated. Clinical indication is a clinical decision and it is mine to make. That is what keeps the home visit clinical rather than contractual, and it is the reason the benefit can exist at all.
For Proactive members the indicated visit is included within Zone 1. For Managed members it is included in both zones. A visit you request, where I have not judged one to be indicated, is charged at £175 within Zone 1, with a £25 supplement in Zone 2.
Zones are set by drive time from the practice at 10 Carnation Crescent, Sittingbourne, ME10 4RY, rather than by distance, because what a visit costs is time in the car rather than miles on the map. 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, from a typical mid-morning weekday journey measured on Google Maps, and it does not change with traffic on the day of a visit. That is what keeps it predictable, so nobody is surprised on a per-visit basis. If you move, we agree your new zone in writing.
6. Messaging and fair use
Membership includes an asynchronous line, scoped to your results, your plan, and health questions arising from them, answered within one working day. Managed members receive a priority weekday response, meaning the same working day for messages received before 2pm.
Fair use applies. Anything that needs a history or an examination becomes a consultation and is drawn from your acute allowance, at my judgment. The line is not a route to acute care and it is not monitored outside practice hours.
7. Prescribing and documents
Private prescriptions and referral letters arising from a consultation are included. Repeat prescriptions are included at one issue a month, with further issues charged at the member rate. Controlled drugs are not prescribed by this practice in any circumstances.
No fit note, prescription, referral or report is issued without a clinical assessment. Every document arises from clinical contact or it does not arise. Fit notes, medical reports and insurance forms are charged at the member rate.
8. What the practice does not provide
The following are not available to members at any price, and are not provided in any tier.
- Urgent and emergency care, overnight care, Sunday and bank holiday care, and any out-of-hours service. Saturday morning acute assessment sits inside practice hours and is not out-of-hours cover.
- Acute home visits for people who are not members.
- Maternity care, addiction services, and the management of complex mental illness.
- Controlled drug prescribing.
- Joint injections, including corticosteroid and PRP.
- Microsuction for earwax removal.
- Medico-legal reports and expert witness work.
- DVLA and HGV medicals, pre-employment screening, and drug and alcohol testing.
Where you need any of these, I will tell you plainly and refer you to somebody who does them properly.
9. Costs passed through at cost
Laboratory fees, imaging, consultant fees, vaccine stock and drug costs pass through at cost in every tier, evidenced on request. I am paid for clinical judgment, not for marking up other people's invoices.
10. 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 four weeks a year.
11. Your NHS registration
Membership of this practice does not replace your NHS GP, and I strongly recommend that you stay registered with one. I will write to your NHS GP whenever it is in your interest, with your consent.
12. Complaints and data
Concerns are handled under the Complaints Procedure. Your information is handled under the Privacy Policy. Both form part of these terms.
13. Governing law
These terms are governed by the law of England and Wales, and the courts of England and Wales have exclusive jurisdiction.