Charges For Services/Vaccinations

Consultations

 The structure of the fee reflects on various overhead expenses to run the practice.Moreover the statutory requirements such as annual appraisal,re-validation by the General Medical Council, Care Quality Commission (CQC) registration, information commission registration, medical malpractice membership, compelled me to review the fee and charges accordingly. Also I spend a lot of time and resources to comply with their bureaucratic framework.Unlike pharmacists, private doctors are not entitled to get the VAT relief on drugs. 

For standard consultations up to 20 minutes, the fee is £95.00 for all patients who are seen in the practice during the past one year. Those who are not seen in the past year, there will be extra £35.00. All new patients are required to fill a registration form. The fee for a new appointment for 30 minutes consultation is £162.50. At the time of booking, a non refundable deposit of £50.00 ought to be paid by all new patients to secure the appointment. It normally takes 30 minutes for the initial consultation. Therefore the balance of fee payable by new patients after the consultation is £112.50 (£142.50for 30 minutes  + £20 registration =£162.50 deposit £50, balance £112.50 ).In case a patient wishes to see the doctor out of the opening time (including Wednesdays, Saturdays and Sundays) in the practice, an extra fee £65.00 will be added.

For subsequent visits, if the duration of the consultation  is within 20 minutes the fee is £95.00 but if it exceeds the standard twenty minutes, we will charge £47.50 for every additional 10 minutes or prorated payment. In consideration of other patients, it is advisable to book a longer appointment if you think your consultation will exceed 20 minutes.

All new patients, patients for minor operations/procedures, people requiring vaccinations and medicals,HGV medicals, racing Medicals, fitness to fly are required to pay the fee in advance. 

Unless a minimum of 24 hour's notice prior to the office hours is given, a fee of £45.00 ( for all patients, members) will be charged for failure to attend. This notice will enable the receptionist to cancel courier/supporting services. This reflects our commitment to see you as promised.

You may pay by cash, or by cheque. There is an administrative charge of £25.00 for cancelling an order of immunisation/vaccination after paying for the same. No refund will be given once drugs or vaccines have been ordered. Dispensed unused drugs will not be taken back or exchanged. Refund will be always by cheque to avoid credit card fees incurred by the practice. If a cheque is not cleared for any reason there is a charge of £50.00.

Practice Membership

Annual membership fee is £240.00. There is a one-off new patient registration fee of £20. For writing a prescription for 2 items of drugs NOT available in the practice is £30.00. Members of the practice requiring home visit Pay 66% (2/3)of the standard rate of £ 330.00 being £ 220.00. Membership is available to the public subject to the terms and conditions of the practice. Members can have unlimited number of consultations at £47.50 per consultation! For those who  are not seen in the practice longer than one year, there is an additional charge of £35.00.

Other Services

For services apart from consultations, such as medical reports, procedures, injections, medicals, vaccinations and immunisations, the fee (see below) will depend on the cost of the materials/drugs as well as the time spent on the service. We can assure you that the fee for all services will be within those recommended by the British Medical Association. Counselling and/or consent are required prior to certain vaccinations and for all minor operations and procedures.

Immunisations/minor operation/travel vaccinations
For all vaccinations there is an administration charge of £10.00. The doctor has to fill a relevant form, and a card with vaccination records will be given to the patient. Except Meningitis B vaccination, NO VACCINATION OR IMMUNISATION WILL BE GIVEN TO CHILDREN. There will be an administration charge £25 for cancelling an order of drugs or vaccines after the payment and prior to our ordering the same. Once we order the vaccine or drugs, no part of the payment will be made. The practice dispensary does not stock vaccines and drugs. If cancelled prior to the ordering, a cheque (no cash or CC refund pay)will be sent or handed over, deducting £25. I  Hep B Vaccination
This is mandatory for training in healthcare service and certain other occupations as Hepatitis B is highly infectious. After the first vaccination, the second is given 4 weeks later and the third, 6 months after the first injection. The period of protection depends on the antibody level, ranging to 5 years.HEP B	course of 3 doses required	£95.00 each or £230.00 for all three
HEP B IMMUNITY ANTIBODY TEST		£170.00
This is recommended annually to everyone and particularly to those who are over 65 years and those who are immuno compromised, as flu can affect the quality of life for one week. Every year new strains of antibodies of flu virus are incorporated into the vaccine. (H1N1 strain is not yet included.)FLU VACCINE		£55.00
This is against Hepatitis A and is required to prevent infections in those countries where hygiene is compromised. A single injection gives protection for one year, but a second injection after six to twelve months gives protection for ten years.HAVRIX ADULT (Hepatitis A)		£99.00 or £170.00 for two injections
This is against Hepatitis A and is required to prevent infections in those countries where hygiene is compromised. A single injection gives protection for one year, but a second injection after six to twelve months gives protection for ten years.
PNEUMOVAX PREVANAR 13		£135.00
This is to protect rabies which is a fatal condition and is recommended if the traveller may be exposed to the risk. A pre-exposure course consists of 3 doses, on day 0, then on the 7th and 28th day. This gives 2 to 5 years of protection.RABIES	course of 3 doses required	£105.00 each or £249 for three injections
TWINRIX ADULT (Hepatitis A&B)	course of 3 doses required	£115.00 each or £310.00for three injections
TYPHIM Vi(Typhoid)		£72.00
Meningitis ACW135 vaccination (pilgrims)		£155.00
HEPATITIS A PLUS TYPHOID		£132.00
TETANUS (not combined)		£95.00
Depending on the individual status, normally TB screening by Mantoux test plus BCG plus follow up are indicated. In rare cases only straight BCG plus follow up recommended.	counselling and consultation required
This is to protect against chicken pox and is only recommended to the immunocompromised and for healthcare workers. Two injections separated by an interval of 4 weeks are given. This usually gives life long immunity. This injection is not suitable for children under one year old.VARIVAX (Varicella Zoster vaccine for Chicken pox) over 12 years or more	Course of two doses required	Total£239.00 for both injections
ShinglesVaccine(over 50 years)£280.00one doseBoostrix (TdaP) Whooping cough  vaccine good for over 60 years   £99.00  Three doses required for those who have NOT had a course.    Meningitis ACWA Vaccine   £149.00recommended for Saudi Arabia travel IXIARA Vaccination to prevent Japanese   encephalitis  Course of two. £280.00  Shingles Vaccine		Shingles Vaccine GBP285.00
This a combined vaccines of Diphtheria, Tetanus and Polio. These are required to protect against these infections while traveling abroad. For primary immunisation, 3 doses separated by an interval of one month are given. This requires a booster dose every ten years.REVAXIS (Diphtheria, Tetanus, Polio)		£84.00
This is a steroid injection, effectively used for a variety of painful conditions of muscles, joints and ligaments.DEPO-MEDRONE OR KENALOG with/without local anaesthetics KENALOG Inj.for hay fever	counselling and consent required initial assessment/x-ray extra                       £162.50 initial consultation plus £100.00 plus £95.00Total £357.50 upfront.	£169.00 +£95 for Initial consult. total £264 new patient
This is recommended for females to prevent the premalignant lesions and thereby protecting them against cervical cancer. As all strains of papilloma virus causing the condition are not included, periodic cervical tests ought to be done. The second dose is given two months after and the third is given six months after the first dose.HPV (Human Papilloma Virus)	course of 3 injections required	total £566.00
	Counselling and registration	£95.00
	first injection	£157.00
	second injection in 2nd month of course	£157.00
	third injection in 6th month of course	£157.00
	A card with vaccination record will be given free after each vaccination.
B12 injection given with consultation		£45.00
VOLTAROL injection given with consultation only		£50.00
Meningtitis B Vaccination AVAILABLE NOW!	Two course vaccination , 6 months to 2 years= 2 doses plus a booster ,Two years and over 2 doses	£180 xtwo £360.00 plus 10 administration, Only one £245(not enrolled for course)
Some parents prefer their children to be given single measles and rubella vaccine for peace of mind since there was media hype that the combined MMR might cause conditions like autism and Crohn's disease. By giving single the load of antigen given at a time is reduced. But there is no scientific evidence to support that the single is better than the combined MMR. Single measles is given when the child is around 12 months, and the single rubella is given six weeks later. These injections are to be repeated when the child reaches preschool age. Single Measles and Rubella vaccines (counselling and consent required) The interval between the vaccinations is six weeks.  NOT AVAILABLE
These are normally done under local anaesthesia, in a minor operation theatre, about one mile away from the practice. The average time taken for the operation is around 40 minutes. At the time of initial consultation, the doctor will explain everything about the management of the condition. If the patient agrees to proceed, then one has to sign a consent and pay for the operation and for the suture removal in advance. Normally the specimen will be sent for histology examination in the NHS hospital and the patient will be informed the report on a later date.Minor Operations
CONSENT/COUNSELLING	required for operations	£95.00
SURGICAL PROCEDURES IN THEATRE	to be done with consultation	from £450.00. Cost is dependent on time taken.
SUTURE REMOVAL	5th to 7th day   if the operation is done by Dr.George	£47.50
CRYOTHERAPY	including consultation&Consent FOR SKIN LESIONS	£165plus initial consultation n.
Investigations
ECG	to be done with consultation	£105.00
CHOLESTEROL TESTING	to be done with consultation	£40.00
GLUCOSE TESTING	to be done with consultation	£30.00
URINE TESTING                   £17.	00
Other
NEW PATIENT REGISTRATION		£20.00
HOME VISITS OUT OF HOURS OF SURGERY.    £65.00 PLUS £162.50 CONSULTATION	within 10 mile radius	£330(£220.00 for members) plus registration,£20 for new patients.Total £350.00 new patients. Once the instruction made,and the doctor accepts home visit, no part of the fee will be refunded.
EAR SYRINGING	Single/both ears	£165.00 patients not seen last year.£145 seen last year
REFERRAL TO CONSULTANT	this is a supplementary charge to a standard consultation, official letter sent.	£40.00
RACING / OCCUPATIONAL /DISABILITY MEDICALS Cost is dependent on time taken. PAYABLE IN ADVANCE	to be done with consultation	minimum/from £225.00
HGV/PCV LICENCE MEDICALS payable in advance PAYABLE IN ADVANCE	Identity required. Payment on arrival. GBP169.00for new patients, not had HGV previous Medicals here.	£149.00.PLUS REGISTRATION FOR NEW PATIENTS
WELL MAN/WOMAN CHECK UP	Not including ECG, Smears or written report.	£230.00 plus all path /x-rays
PRE-EMPLOYMENT MEDICALS AND OTHER PAYABLE IN ADVANCE	check with Dr George	Fee dependent on time taken.
HIV testing	counselling consent  required	£170.00 extra £20 for new patents
SMEARS	Thursday only.	£179.00 plus cost of test approx £60.00
PATERNITY TEST	For taking specimen with scrutiny £155.00	Package for Complete DNAfor 3  TOTAL = £786.50