I will provide a high standard of medical care that complies with the professional guidelines laid down by the General Medical Council. In particular I aim to provide a service that is punctual, courteous, and confidential. If, at any time during your care you feel that this is not the case, I would welcome your feedback on where you feel these standards have fallen short. As part of the medical service provided, if I cannot help you myself I will be pleased to suggest a referral to a colleague. If I am not certain of something I will try to explain the basis of this uncertainty. At the end of a consultation I aim to ensure that you have understood the nature of your problem, the main treatment options available, what treatment involves and the important risks of any relevant treatments.
Fees for service (from 1st January 2024)
The basis on which professional fees are charged are outlined below. Such fees are subject to annual review and are intended as a guide. You will usually receive an invoice by email or by post after the service has been provided. I would be pleased to discuss any concerns you might have about charges, for example if you do not have medical insurance, or the insurance you have has an excess, or for any other reason.
Consultation Fees
 New problem consultation (generally lasting up to ½ hour) | £275.00 |
| Review/ follow up consultation (generally lasting up to ¼ hour) | £195.00 |
These fees will usually be charged even in the event of a shorter duration consultation. Rarely, these charges will be higher if the consultation lasts substantially longer than the time indicated.
Additional procedures/investigations
Occasionally during a consultation, minor investigations or other small procedures are necessary. These will be charged in addition to the consultation fee e.g.
| ABPI measurement | £90.00 |
Scans/Imaging/Vascular investigations
There is a separate tariff for imaging and other vascular investigations. Example costs are £300 for single leg diagnostic vein or artery scan, and £600 for two legs.
Sclerotherapy (injection treatment of veins)
| Foam sclerotherapy with ultrasound guidance | £550 per leg |
| Microsclerotherapy treatment of one leg | £400 |
| Microsclerotherapy treatment of both legs | £650 |
| VNUS closure and injections of one leg | £2,500 |
| VNUS closure and injections of both legs | £3,300 |
| Post-procedure follow up appointment to include ultrasound | £300 |
| Post-procedure follow up appointment excluding ultrasound | £185 |
* I will not normally treat both legs by foam sclerotherapy in one session.
Ward care and ward consultations
Charges may apply if I provide care or conduct consultations for patients in hospital. Generally, fees for visits are waived if they are part of routine post-operative care.
| Simple review, low intensity work, per visit | £195.00 |
| Complex review, high intensity work and availability (charge per visit) | £275.00 |
| Minimum daily charge | £195.00 |
| Out of hours call-out charge (payable in addition to consultation fee) | £ 150.00 |
Surgery/Operations/In-patient Treatments
These are charged at a standard rate irrespective of whether you have medical/health insurance. Sometimes insurance companies will not fully reimburse these costs. You are advised always to check with your insurance company in advance of surgery. Please be aware that charges are made for all treatments, irrespective of outcome or satisfaction with the result. However, I will always be willing to discuss difficulties of this nature with you.
Payment Terms
If you do not have health insurance then invoices will be sent to you following your consultation or treatment. Payment should be made within 14 days. Monthly interest on any unpaid amounts in accordance with late payment legislation may be charged. Costs of debt recovery may also arise.
If you have health insurance then invoices will normally be sent directly to your insurer. Please note that insurance may not always cover the full cost of your health care and treatment, and there may therefore be excess costs that fall to you to pay. You are advised to check with your insurer in advance of receiving treatment if you are unsure about any of the above. If we are unable to claim from your insurer for any reason then you remain liable for all costs incurred. Please note that if you have insurance with BUPA UK then we are not able to invoice you directly.
Cancellation fees
Please cancel your appointment well in advance if it is not required. Failure to give 24 hours notice of cancellation may result in a charge of £50 for each missed appointment.