Preparing your healthcare experience...
More about our services, so you can make informed healthcare decisions
No - as a private GP service, we cannot issue NHS prescriptions. Any prescriptions we provide are private.
Many commonly prescribed medications privately are often similarly priced to the NHS prescription charge, particularly for straightforward treatments.
Where appropriate, we can write to your NHS GP outlining our clinical recommendations. It is entirely at their discretion whether they choose to prescribe within the NHS.
We aim to work collaboratively with NHS colleagues whenever this supports safe, coordinated care.
We provide a traditional general practice service covering:
Everyday health concerns
Preventative care
Ongoing condition management
Medical advice and health optimisation
We prescribe treatments when they are:
Safe and appropriate for GP-led care
Supported by clinical evidence
Consistent with UK national guidance where available
Where NICE guidance exists, we follow it where appropriate.
Sometimes safe prescribing requires an in-person consultation rather than remote assessment.
Some treatments are normally initiated and monitored by hospital specialists rather than GPs.
If a requested treatment falls into this category, we will usually recommend referral to a suitable specialist.
Examples include:
Opiate painkillers
Benzodiazepines
Certain sleeping medications
Other controlled drugs
As a general safety policy, we do not usually prescribe strong controlled medications for pay-as-you-go patients.
Where ongoing prescribing may be appropriate, we normally:
Establish a clinical relationship first (often through membership)
Review your medical history in detail
Request relevant records where needed
Ensure appropriate monitoring arrangements
This supports safe, responsible prescribing.
Through our experience to date*, we know what works well, and what works less well with remote consultations. We estimate 60-80% of health problems can effectively be managed by telephone call or video call, and consultations can be further enhanced using uploads of photographs of – for instance – skin or eye lesions.
Some conditions are harder for your GP to assess remotely than in person. The reasons for this includes that your GP:
can't listen to your heart and lungs
can't look inside your ear
can't listen to and palpate your abdomen
Will find it harder to provide you with as much emotional support as they could offer if they saw you face-to-face in the clinic. For instance, this commonly applies in situations where you are consulting regarding a serious health matter: such as end-of-life care, or serious mental health issues.
This list is not exhaustive but includes that those situations where we recommend not to book a video or telephone appointment.
Injuries with possibility of an Acute Fractures (this usually requires a physical examination and a Minor Injuries Unit may be more appropriate for you)
Assessment of Chest and Ear Infections
Assessment of Abdominal Pain
Prescribing Controlled Medications and "grey zone medications", such as Pregabalin or Gabapentin, as well as benzodiazepines, 'z' drugs (sleeping tablets), and specialist substances
Serious Mental Health Illness/Episodes
Advanced Cancer
DNAR (Do Not Attempt to Resuscitate) Forms.
If you are still worried or uncertain whether a remote consultation will suit you, call us or enquire first and we will advise.
*We are pleased to bring a wealth of experience at providing safe and effective care via video and telephone consulting, thanks to Dr Large's 8 years of clinical leadership experience working for some of the largest Video GP services in the UK.
Patients understandably hear about new, emerging or “off licence” treatments through the media, social networks or specialist clinics. We are always happy to discuss these openly.
In UK medicine, some treatments are prescribed “off licence”. This means the medication is licensed for use in general, but not specifically for the condition being treated. This can be appropriate where there is accepted clinical experience, evidence of benefit, and a clear understanding of risks.
However, we generally avoid prescribing treatments that:
Lack sufficient clinical evidence
Fall outside recognised UK primary care practice
Do not have appropriate safety monitoring frameworks
Carry significant potential risk without clear benefit
Occasionally, where there is established GP experience and a clear clinical rationale, off-licence prescribing may be considered following careful discussion - but usually only for our members. For example:
Medication sometimes prescribed for altitude sickness despite not having a specific UK licence for that indication
Treatments that were historically licensed but no longer are, such as certain steroid injections previously used for hayfever
These situations require thoughtful risk–benefit discussion. Where treatments carry higher risk, require ongoing monitoring, or involve repeated prescribing - such as longer-term sleeping medication use or certain hormonal or metabolic treatments - continuity becomes particularly important.
For this reason, some higher-risk or longer-term off-licence treatments are generally only considered within our membership model. This allows us to:
Know you and your medical history well
Provide appropriate ongoing monitoring
Review treatment regularly
Ensure prescribing remains safe and responsible over time
This approach supports patient safety, professional responsibility and high-quality continuity of care.
We can provide private fit notes and return to work notes for your employer for injuries and temporary illnesses, as long as our doctor decides it clinically appropriate following your consultation.
These cost £25 on top of your GP consultation fee (or free for members).
All prescribing decisions:
Follow consultation and informed discussion
Prioritise clinical safety
Reflect professional responsibility taken by your GP
If a treatment is not appropriate, your GP may decline to prescribe and suggest alternatives or referral.
If you need a fit note for statutory purposes - such as Statutory Sick Pay (SSP) or social security benefits - this should usually be obtained from your NHS GP. We are unable to issue fit notes for statutory or social security purposes.
We can provide private medical certificates where appropriate, which may be suitable for employers, schools, universities, insurance, or other non-statutory requirements.
If you are unsure which type of certificate you need, please contact us and we will be happy to advise.
No. We never require you to leave your NHS GP, whether you are a member or using pay-as-you-go appointments.
In fact, we strongly encourage patients to remain registered with their NHS practice. This ensures continued access to:
Emergency and urgent NHS pathways
NHS prescriptions where appropriate
National screening programmes
Community services and follow-up care
Hospital investigations and specialist treatment
Statutory sick notes and official certification
Our role is to complement NHS care by offering:
Faster access when needed
More time with your GP
Greater continuity where helpful
Preventative and proactive health support
For members particularly, we are happy to support communication with your NHS GP where this improves coordination of care.
There are two main ways to access our services:
Designed for patients who value continuity, proactive healthcare and an ongoing relationship with their GP.
Membership typically provides:
Ongoing access to your GP and wider clinical team
Predictable monthly costs
Preventative health planning
Fee-free prescribing administration
Support between appointments where appropriate
Membership tends to suit patients who want continuity rather than occasional episodic care.
Flexible access without subscription.
You simply book appointments as needed. This suits patients who:
Want occasional advice
Need one-off consultations
Prefer not to commit to membership
Some administrative elements and prescribing support may be charged separately under this model.
Both options provide access to experienced, GMC-registered UK GPs.
We offer consultations:
In clinic
Stokenchurch Medical Centre (near High Wycombe)
Halton Tennis Centre (near Wendover)
Remotely
Video consultations
Telephone consultations
Home visits
Available depending on location and clinician availability. Please enquire.
Where availability allows, we are happy to arrange urgent consultations.
However, we are not an emergency service. For urgent or emergency concerns please contact:
NHS 111 for urgent medical advice
999 for emergencies
Yes. Continuity is a core part of how we work, particularly for members.
Where possible we accommodate preferences for:
A specific GP
Gender preference
Ongoing follow-up with the same clinician
Availability can vary, and urgent appointments may occasionally require seeing another GP within our team.
The time you book reflects the total professional time needed to manage your case safely. This includes preparation, consultation, documentation and clinical responsibility.
As a general guide:
15 minutes - One straightforward issue. Usually not suitable for multiple concerns, complex discussions or referral letters.
30 minutes - Most commonly booked. Appropriate for multiple issues or ongoing care discussions.
45 minutes - Useful when several issues interact or more detailed discussion is needed.
60 minutes - Best for comprehensive reviews, longstanding complex health concerns or preventative planning.
If unsure, we are always happy to advise. Allowing slightly more time is often helpful.
No - as a private GP service, we cannot issue NHS prescriptions. Any prescriptions we provide are private.
Many commonly prescribed medications privately are often similarly priced to the NHS prescription charge, particularly for straightforward treatments.
Where appropriate, we can write to your NHS GP outlining our clinical recommendations. It is entirely at their discretion whether they choose to prescribe within the NHS.
We aim to work collaboratively with NHS colleagues whenever this supports safe, coordinated care.
We provide a traditional general practice service covering:
Everyday health concerns
Preventative care
Ongoing condition management
Medical advice and health optimisation
We prescribe treatments when they are:
Safe and appropriate for GP-led care
Supported by clinical evidence
Consistent with UK national guidance where available
Where NICE guidance exists, we follow it where appropriate.
Sometimes safe prescribing requires an in-person consultation rather than remote assessment.
Some treatments are normally initiated and monitored by hospital specialists rather than GPs.
If a requested treatment falls into this category, we will usually recommend referral to a suitable specialist.
Examples include:
Opiate painkillers
Benzodiazepines
Certain sleeping medications
Other controlled drugs
As a general safety policy, we do not usually prescribe strong controlled medications for pay-as-you-go patients.
Where ongoing prescribing may be appropriate, we normally:
Establish a clinical relationship first (often through membership)
Review your medical history in detail
Request relevant records where needed
Ensure appropriate monitoring arrangements
This supports safe, responsible prescribing.
Through our experience to date*, we know what works well, and what works less well with remote consultations. We estimate 60-80% of health problems can effectively be managed by telephone call or video call, and consultations can be further enhanced using uploads of photographs of – for instance – skin or eye lesions.
Some conditions are harder for your GP to assess remotely than in person. The reasons for this includes that your GP:
can't listen to your heart and lungs
can't look inside your ear
can't listen to and palpate your abdomen
Will find it harder to provide you with as much emotional support as they could offer if they saw you face-to-face in the clinic. For instance, this commonly applies in situations where you are consulting regarding a serious health matter: such as end-of-life care, or serious mental health issues.
This list is not exhaustive but includes that those situations where we recommend not to book a video or telephone appointment.
Injuries with possibility of an Acute Fractures (this usually requires a physical examination and a Minor Injuries Unit may be more appropriate for you)
Assessment of Chest and Ear Infections
Assessment of Abdominal Pain
Prescribing Controlled Medications and "grey zone medications", such as Pregabalin or Gabapentin, as well as benzodiazepines, 'z' drugs (sleeping tablets), and specialist substances
Serious Mental Health Illness/Episodes
Advanced Cancer
DNAR (Do Not Attempt to Resuscitate) Forms.
If you are still worried or uncertain whether a remote consultation will suit you, call us or enquire first and we will advise.
*We are pleased to bring a wealth of experience at providing safe and effective care via video and telephone consulting, thanks to Dr Large's 8 years of clinical leadership experience working for some of the largest Video GP services in the UK.
Patients understandably hear about new, emerging or “off licence” treatments through the media, social networks or specialist clinics. We are always happy to discuss these openly.
In UK medicine, some treatments are prescribed “off licence”. This means the medication is licensed for use in general, but not specifically for the condition being treated. This can be appropriate where there is accepted clinical experience, evidence of benefit, and a clear understanding of risks.
However, we generally avoid prescribing treatments that:
Lack sufficient clinical evidence
Fall outside recognised UK primary care practice
Do not have appropriate safety monitoring frameworks
Carry significant potential risk without clear benefit
Occasionally, where there is established GP experience and a clear clinical rationale, off-licence prescribing may be considered following careful discussion - but usually only for our members. For example:
Medication sometimes prescribed for altitude sickness despite not having a specific UK licence for that indication
Treatments that were historically licensed but no longer are, such as certain steroid injections previously used for hayfever
These situations require thoughtful risk–benefit discussion. Where treatments carry higher risk, require ongoing monitoring, or involve repeated prescribing - such as longer-term sleeping medication use or certain hormonal or metabolic treatments - continuity becomes particularly important.
For this reason, some higher-risk or longer-term off-licence treatments are generally only considered within our membership model. This allows us to:
Know you and your medical history well
Provide appropriate ongoing monitoring
Review treatment regularly
Ensure prescribing remains safe and responsible over time
This approach supports patient safety, professional responsibility and high-quality continuity of care.
We can provide private fit notes and return to work notes for your employer for injuries and temporary illnesses, as long as our doctor decides it clinically appropriate following your consultation.
These cost £25 on top of your GP consultation fee (or free for members).
All prescribing decisions:
Follow consultation and informed discussion
Prioritise clinical safety
Reflect professional responsibility taken by your GP
If a treatment is not appropriate, your GP may decline to prescribe and suggest alternatives or referral.
If you need a fit note for statutory purposes - such as Statutory Sick Pay (SSP) or social security benefits - this should usually be obtained from your NHS GP. We are unable to issue fit notes for statutory or social security purposes.
We can provide private medical certificates where appropriate, which may be suitable for employers, schools, universities, insurance, or other non-statutory requirements.
If you are unsure which type of certificate you need, please contact us and we will be happy to advise.
Fees vary depending on appointment length, service type and whether you choose membership or pay-as-you-go care.
For the most up-to-date information, please see:
Our Pricing Page
If you are unsure what you may need, our team is always happy to guide you before booking.
Private health insurance has traditionally focused on unexpected or higher-cost events such as specialist care, investigations and hospital treatment.
Primary care tends to be ongoing and preventative rather than reactive. In many ways it is similar to maintaining your car - regular servicing helps prevent problems but is not usually covered by insurance.
For this reason, GP care often lends itself better to direct access (pay-as-you-go) or a membership model where continuity and preventative care are built in.
Insurance products do evolve, so it is always worth checking directly with your provider.
Pay-as-you-go offers flexible access to our GPs without a subscription. You simply book appointments as and when you need them.
For many patients, this works extremely well.
However, because this model is episodic rather than relationship-based, there are some practical limitations. These relate both to the types of treatment we can safely provide on an ongoing basis and to how long we can continue certain treatments without a review appointment.
There will also be additional charges that are applicable that do not apply within membership, such as prescribing or letter fees, and periodic review appointments where clinically appropriate.
We believe it is important that you are fully informed about how this works before choosing which model suits you best. Clear expectations help ensure care remains safe, transparent and straightforward.
For Pay As You Go patients, referral letters are charged separately.
Referral letter fee: £25 per referral
This reflects the additional clinical time required to prepare clear, appropriate documentation for your chosen specialist following your consultation.
Please Also Note: after we have provided you with a referral letter, we do not usually arrange private specialist appointments directly on your behalf.
The £25 referral fee covers preparation of the referral letter only. It does not include arranging the specialist appointment.
In most cases, we recommend that you contact the consultant’s secretary or private hospital directly to book your appointment. This is usually quicker and allows you to choose a time that works best for you.
Coordinating diaries between you, the specialist team and our practice can sometimes delay the process.
If you would prefer us to arrange the appointment on your behalf, we are happy to help however this can be done for an additional administrative fee, which depends on the complexity of the coordination required.
All prescribing at 222 Healthcare follows UK clinical guidance and evidence-based practice, including NICE guidance where applicable. Clinical safety always comes first.
Certain medications - particularly controlled drugs or treatments that require close monitoring - are not usually prescribed for new patients until an appropriate clinical relationship has been established and relevant medical records have been reviewed.
Where ongoing or higher-risk prescribing is requested, this is generally managed within our membership model. This allows us to ensure safe continuity, proper monitoring and responsible prescribing over time.
Our approach is designed to protect patient safety while maintaining high standards of clinical care.
If a prescription is issued as part of a booked consultation, no additional prescribing fee applies. You simply pay for the consultation itself, and the item fee where we dispense medicine to you directly.
Please note that if you need to take your prescription to a pharmacy:
The pharmacy will apply its own dispensing fee
Medication costs are set by the pharmacy
These charges are outside our control
If you have previously had a PAYG appointment with us and are requesting a prescription without booking an appointment, this must comply with our three-month review policy (see relevant FAQ).
When we have seen you within the last 3 months, even where a further appointment is not considered required, issuing a prescription safely involves clinical review and professional responsibility. This includes:
Reviewing your medical records
Clinical safety assessment
Medication interaction checks
Documentation of prescribing decisions
Acceptance of ongoing prescribing responsibility
For this reason, prescription requests outside of an appointment are chargeable for pay-as-you-go patients. For members, this work is covered within the membership structure.
£25 - Paper prescription (collected from clinic)
£30 - Electronic prescription (sent to your chosen pharmacy or posted)
Please note:
The pharmacy will apply its own dispensing fee
Medication costs are set by the pharmacy
These charges are outside our control
£25 dispensing fee
Plus medication item fee
Medication item fees start from £10 per item, meaning the total cost typically begins from £35. Exact pricing depends on the medication required, and full details are available on request.
For patients using our service on a pay-as-you-go basis, we generally issue prescriptions for a maximum of three months at a time.
This does not limit the overall duration of your treatment. It simply ensures that ongoing medication is reviewed periodically so that your treatment remains appropriate, monitoring is up to date, and both you and your GP remain comfortable with the plan.
Safe prescribing carries ongoing professional responsibility. Without a membership arrangement, we cannot always take on the same continuous, open-ended role as your NHS GP. The three-month checkpoint provides a sensible review point while still allowing flexibility for patients who prefer episodic private care.
If further prescribing is needed after this period, we will usually recommend a brief consultation before continuing. Often this can be a short phone or video review, although occasionally a more in-depth appointment is clinically appropriate.
Prescription or letter requests outside of appointments may also carry a fee, as they involve clinical review, documentation and professional accountability.
The aim of this policy is not to restrict care, but to keep treatment safe, transparent and properly supported.
Some treatments commonly requested in primary care fall outside standard licensed indications or require particularly careful ongoing monitoring.
Examples include:
Ongoing use of sleeping tablets
Steroid injections for hay fever
Other treatments that require repeated risk-benefit discussions over time
For the right individual, these treatments can significantly improve quality of life. However, they can also carry important risks, particularly with repeated or long-term use.
For this reason, we generally do not provide these types of treatments on a Pay As You Go basis.
These decisions are best made within a membership model, where we are able to:
Know you and your medical history well
Provide appropriate ongoing monitoring
Have regular safety and risk-benefit discussions
Ensure responsible long-term prescribing
This approach allows us to prioritise patient safety while maintaining high-quality, relationship-based care.
Membership provides ongoing access to care within a relationship-based model.
While appointment access is included, the core value of membership is not the number of appointments you use. It is the continuity, the relationship with your GP, and the ability to manage your health proactively rather than reactively.
Instead of booking care episodically when something goes wrong, membership is structured around long-term continuity. Over time, your GP gets to know you, understands your baseline health, and can take a more longitudinal view of your care.
Because membership is ongoing rather than one-off:
Regular review is built into the structure
Prescribing decisions are supported by familiarity and context
Monitoring can be planned, not just triggered by problems
Clinical responsibility does not need to be re-established at each contact
This allows us, where appropriate, to take on a broader and more continuous role in managing chronic or recurring conditions, while maintaining safe and responsible oversight.
In short, membership is designed to provide clarity, continuity and a calmer, more structured approach to healthcare.
No.
Referral letters are included within the membership structure as part of ongoing care planning. Where specialist documentation is required following consultation, this is handled within the established relationship framework rather than as a separate episodic transaction.
No. There is no separate prescribing administration fee for members.
Within our membership model, prescribing forms part of the ongoing care relationship. Because review intervals and continuity are already built into the structure, prescription requests are managed within that established framework.
This means:
There is no additional charge for routine prescription administration
Prescribing decisions are supported by familiarity and ongoing review
We are not restricted to rigid, time-based prescribing checkpoints in the same way as episodic care
Please note: There is still a charge for the medication itself, and pharmacy dispensing fees apply where relevant. However, the clinical review work that sits behind safe prescribing is included within membership.
Because membership provides continuity and planned follow-up, treatment duration and review frequency are guided by clinical need rather than fixed administrative intervals.
This allows care to feel smoother and less transactional, while maintaining appropriate safety standards.
In short, membership reduces friction for patients who require ongoing treatment, without compromising clinical responsibility.
All prescribing at 222 Healthcare follows UK clinical guidance and evidence-based practice, including NICE guidance where applicable. Clinical safety always comes first.
Membership does not change our clinical standards. It simply allows us to deliver those standards within a more consistent and longitudinal framework.
Because membership is built around continuity:
Prescribing decisions are informed by familiarity with your medical history
Monitoring can be planned rather than reactive
Risk-benefit discussions can be revisited over time
Responsibility for ongoing treatment is clearly supported
Membership also creates the appropriate framework to consider off-licence treatments in certain areas where our doctors have the experience and confidence to do so safely. Any such decisions are made carefully, with full discussion of risks, benefits and alternatives.
However, in some situations we may still advise onward referral to a specialist if we feel that this would provide safer or more appropriate oversight.
Our philosophy is straightforward: prescribe thoughtfully, review regularly, and prioritise safety within a trusted, ongoing clinical relationship.
Membership allows that process to feel smoother and less transactional, while maintaining the same high standards of responsible prescribing.
Certain treatments require careful ongoing risk-benefit discussion and appropriate monitoring. Examples may include:
Ongoing use of sleeping medication
Steroid injections for hay fever
Other treatments that require repeated reassessment over time
Within our membership model, we are better placed to consider these treatments where clinically appropriate because continuity is already established.
This means:
We know you and your medical history
Monitoring can be structured and planned
Risk-benefit discussions can be revisited regularly
Prescribing responsibility is clearly supported over time
Membership does not mean automatic access to higher-risk treatments. All prescribing continues to follow UK clinical guidance and is based on individual assessment.
However, the continuity within membership allows decisions to be made more safely and responsibly, with appropriate oversight.
This approach supports both patient safety and high-quality long-term care.
We are a GP-led practice and do not employ secondary care consultants.
However, alongside general GP care, we have developed particular experience and structured services in several focused areas. These are delivered within a primary care framework, and where appropriate we work collaboratively with specialist colleagues.
Alongside routine GP care, we support patients in areas including:
Allergy assessment and management
Long Covid and post-viral syndromes
Preventative health optimisation
Sexual health
Travel health medicine
These services are provided within the scope of general practice. Where specialist referral or secondary care input is needed, we will advise and coordinate accordingly.
Further details are available on our service-specific pages.
We provide nurse-led services alongside GP care.
Available to members and Pay-As-You-Go patients.
We offer:
Travel vaccines and advice
Routine adult vaccinations
Selected occupational vaccines
Early enquiry is recommended for travel.
Including:
Blood pressure monitoring
Preventative health checks
Blood test coordination
Lifestyle health assessments
Including:
Dressings and wound care
Follow-up monitoring
Minor clinical procedures
We provide:
Standalone testing
Monitoring for conditions
Health screening panels
Results are clinically reviewed.
We offer:
Well Man and Well Woman checks
Executive medicals
Employment medicals
HGV and Taxi medicals
Corporate health packages
Travel health services
Please enquire for details.
Not always.
It is always advisable to enquire with us first before booking. Some medicals and forms require specific regulatory approval, access to full historical records, or an established clinical relationship.
As private GPs, we can only complete forms that are appropriate for us to sign within our scope of practice and where we have sufficient information to do so safely and responsibly.
In many cases, we will ask you to attend with:
Valid photo ID
Relevant previous medical documentation
Access to your NHS medical record, for example by bringing a device logged into your NHS App
This ensures that any declaration we make is accurate and defensible.
If we feel a form would be more appropriately completed by your NHS GP or a specific specialist, we will advise you accordingly.
We are passionate about delivering safety to both patients and staff. We have used our collective healthcare experience in both private digital and NHS settings to develop clinical and non-clinical policies and protocols through which we achieve the highest levels of safety. We have a rigorous recruitment process ensuring all staff are registered and fully up to date with their professional development, and provide training in delivering remote consultations safely. All our staff have a Disclosure and Barring Service check.
All our doctors are GMC-registered UK GPs.
We comply with:
GDPR
UK Data Protection Act
GMC professional standards
Consultations may be recorded for safety unless you request otherwise.
We welcome feedback.
If you wish to provide direct feedback, we suggest you email it to support@222healthcare.co.uk
We aim to acknowledge complaints within 2 working days and respond within 30 working days.
Independent review routes are available if required.