Yes - we aim to support patients with Long Covid and ME/CFS using a personalised, evidence-informed approach. Treatment plans may include pacing and energy management, support for the autonomic nervous system, nutritional optimisation, gut health strategies, and targeted therapies based on your specific symptoms. The focus is on understanding and addressing underlying mechanisms, not just symptom control.

Our approach is collaborative, personalised and thorough. We take the time to understand your condition in detail, review the information and investigations already available, explore appropriate next steps and develop a management plan around your individual needs and goals. This is deliberately not a high-volume or one-size-fits-all service. Complex and off-label treatment requires careful clinical review, appropriate monitoring and ongoing medical oversight, and we build the time needed for this into the way our clinic works. We recognise that private care is a significant financial commitment, so we aim to be transparent about likely costs and avoid unnecessary investigations or appointments wherever possible. Our priority is to provide thoughtful, individualised care with a strong focus on safety, evidence and appropriate clinical oversight.

Many patients are seen entirely via video consultation, which works well for the majority of assessments. However, if you would prefer or require an in-person examination, our clinic is very easy to access. We are located just one minute from the M40, not far from London, with a large on-site car park and lift access within the building. This makes attending for a face-to-face appointment straightforward, whether this is your preference or something that becomes necessary as part of your care.

We do offer access to certain advanced and research-level tests, and where appropriate, carefully selected off-label treatments. However, all treatments must meet safety and regulatory standards, including insurer approval. Where a treatment is not currently available through us, we are transparent about this and may suggest alternative services or clinicians where appropriate.

We offer both standard and more specialised investigations depending on your symptoms. This can include cardiology testing for POTS, specialist blood and urine tests for conditions such as mast cell activation syndrome, and a range of advanced or research-level tests. Examples include the Attomarker spike protein and IgX tests, as well as upcoming tests such as Covid-19 faecal RNA and T-cell response testing. These are selected carefully based on clinical relevance and discussed with you in detail.

Your first appointment is a “Deep Dive” consultation with Dr Shaw. It is designed to build a detailed understanding of your symptoms, medical history, previous investigations and treatments, while exploring potential underlying drivers such as autonomic dysfunction, mast cell activation, hormonal imbalance or metabolic factors. Afterwards, you will receive a written report with Dr Shaw’s assessment and initial recommendations. For some patients, this fresh perspective and clear plan are all they need to move forward. If you would like to continue your care with Dr Shaw, the report will also set out recommended next steps. Depending on your individual presentation, this may include further testing, investigations or treatment options that can then be explored through the clinic.

There is no single pathway for Long Covid, so next steps are tailored to you. For some people, the initial Deep Dive and Dr Shaw’s recommendations provide the advice and direction they need, particularly where lifestyle changes or over-the-counter approaches may be enough to get started. Others may wish to continue with the clinic to explore further investigation and treatment. If you would like to continue, the usual next step is a Treatment Preparation Assessment (£300). This is not an appointment, but dedicated clinical time for Dr Shaw to review your care in detail, including your NHS records (with your consent), relevant private records and previous test results. She will then provide a report outlining any further tests or information needed, potential treatment options and what would be required to proceed. Once any recommended tests or information are in place, you would usually book a follow-up appointment with Dr Shaw (£275). This is where you can discuss the options together and, where appropriate, start treatment. Treatments requiring a private prescription are therefore not typically started at the initial Deep Dive appointment. There is no requirement to continue through these stages if the initial assessment provides what you need.

Medication is considered on a case-by-case basis, taking into account your individual circumstances, safety, available evidence and prescribing guidance. Where appropriate, Dr Shaw can consider a range of medicines that may be used off-label for Long Covid. Examples include low-dose naltrexone (LDN), certain SSRIs, GLP-1 medications, ketotifen, antihistamines, montelukast and beta blockers. Because these treatments may be used outside their usual licensed indication, careful assessment, discussion of the potential benefits and risks, and appropriate monitoring and follow-up are important parts of our prescribing approach. Some treatments patients enquire about may have limited evidence or potential risks and are not currently approved for prescribing within our clinic. Other medications may be more appropriately assessed and initiated by a particular specialist, in which case we can recommend or arrange referral where appropriate. We continually review emerging evidence and our prescribing options are evolving, so we welcome enquiries about particular medications or treatments you may have come across. Any decision to prescribe is made individually and collaboratively with you, taking into account the potential benefits, risks, uncertainties and monitoring requirements.

This depends on the treatment being considered and the level of monitoring it requires. Some treatments need closer follow-up, particularly where medicines are prescribed off-label. Appropriate clinical monitoring and oversight are an important part of safe prescribing and Dr Shaw will explain what is required for any treatment you are considering. Your Treatment Preparation Assessment will give you an indication of the likely follow-up required. Where Dr Shaw is prescribing medication off-label, patients are typically reviewed every few months once treatment is established and stable. Follow-up appointments cost £275 each. Intermittent blood testing may be required. There is no fixed programme or requirement to commit to a set number of appointments, but if Dr Shaw is prescribing medication for you, appropriate clinical reviews will be required for prescribing to continue safely.

Further testing is individual and depends on your symptoms, medical history and what has already been investigated. Dr Shaw will review existing NHS and good-quality private results wherever possible, helping to avoid unnecessary repeat testing. If further blood tests are needed, some can be completed using home test kits, typically costing around £60–£100. More comprehensive venous blood testing typically costs around £300–£400, depending on what is required. Your Treatment Preparation Assessment will explain what, if anything, Dr Shaw recommends and the available options, so you can understand the likely costs before proceeding.

Not everyone needs cardiac testing, especially where tests have already been done and can be reviewed during the treamtent preparation assessment. However, Dr Shaw may sometimes recommend it depending on your symptoms, medical history, previous investigations or the treatment being considered. Where needed, testing can range from an ECG at our clinic (from £75) to more comprehensive investigations such as 24-hour monitoring and other cardiac tests, which can cost around £500. Some cardiac investigations can also be arranged through our remote partners, who can travel to you.

Yes - we are able to arrange a wide range of investigations remotely. Blood tests can be organised either through a home visit from a phlebotomist or at a partner clinic local to you. We also offer more advanced testing at home, including cardiology assessments such as ECG, echocardiograms, 24-hour monitoring, and active stand testing for conditions like POTS, carried out by a specialist cardiac physiologist.

Yes - we regularly assess and support patients with suspected or confirmed POTS and MCAS. We can arrange appropriate diagnostic testing, including active stand testing and specialist laboratory investigations, and develop a tailored management plan based on your results and symptoms.

We issue private prescriptions directly. While we can write to your NHS GP to inform them of any recommended treatments, we cannot guarantee that NHS prescribing will be taken over. This is always discussed with you so you have a clear understanding of your options.

Most patients can be assessed and, in many cases, diagnosed through a video consultation. However, every patient is different, and the complexity of symptoms can vary. Some individuals receive a clear diagnosis after a single appointment, while others may require a series of consultations to fully understand their condition. Where needed, we will guide you through further steps to ensure a thorough and accurate assessment.