Practice Transparency: Our Numbers, Honest

Hospital facility fees vary significantly by location (Chelsea & Westminster vs Highgate vs Saxon Clinic) and are billed separately by the hospital. Additionally, costs vary based on whether you need day-case or overnight admission, type of anaesthesia, and any additional tests required.

The hospital and the anaesthetist will provide you with relevant quotation and will be fully responsible for their whole billing process.

Update: I'm working with Chelsea and Westminster Hospital to create transparent bundled packages for common procedures. These will be published here when finalized (expected Spring 2026).

Most patients fit standard pricing. Complexity typically means:

• Multiple procedures performed simultaneously (e.g., circumcision + frenuloplasty + penile straightening)
• Unusual anatomy requiring extended operating time or specialized techniques
• Significant medical comorbidities requiring extra precautions or monitoring
• Redo surgery following previous procedures elsewhere

If your case requires pricing adjustment, I'll explain exactly why and provide the revised cost estimate before you decide to proceed. There are no surprise bills.

No. I'll tell you at the initial consultation whether ongoing care is needed or if your concern can be fully addressed in one visit.

Some conditions resolve completely after a single consultation and prescription. Others genuinely require monitoring—for example, checking post-surgical healing, adjusting medications based on response, or tracking progress with conservative management.

Follow-up is recommended only when there is a clinical need, not to create unnecessary dependency.

Let's have an honest conversation. For necessary medical care (as opposed to purely elective procedures), options might include:

• Payment plans: Spreading costs over several months may be possible
• NHS pathway: I can advise whether your condition qualifies for NHS treatment and how to access it
• Insurance options: If you're considering taking out private health insurance, I can guide you on what to look for

Cost should not prevent you from being properly assessed. Even if you can only afford the initial consultation, that alone will give you clarity about your diagnosis, treatment options, and realistic pathway forward.

Brief telephone queries for existing patients (under 5 minutes) are not charged. Prescription renewals attract a £15 administrative fee. Simple result explanations, or quick reassurance about expected recovery symptoms via email are also fully free of any charge.

Anything requiring substantive medical advice, review of new symptoms, or discussion of treatment changes requires a formal remote consultation appointment (£190, 15 minutes) to ensure proper documentation and clinical governance.

If your insurer rejects a claim you reasonably expected them to cover, we'll work with you. I can provide additional clinical justification letters, and my secretary is experienced in appealing insurance decisions.

However, you remain ultimately responsible for payment regardless of insurance outcomes. This is why I strongly recommend getting pre-authorization before proceeding with treatment.

I review fees annually, typically in January. Any increases reflect rising costs (hospital fees, medical defense insurance, clinic expenses) and market rates. When fees change, existing treatment plans are honored at the original quoted price—you won't see mid-treatment increases.

The most recent review was January 2026.

Absolutely. Before any surgical procedure, my secretary will provide you with a written quote that breaks down:

• My surgeon fees
• Estimated hospital facility fees (from the hospital's published rates)
• Estimated anaesthetist fees
• Any anticipated additional costs

You'll know the total expected cost before you consent to proceed. The only surprises would come from unexpected complications requiring additional treatment—which would be discussed with you at the time.

No. Cross-referral from private to NHS for the same condition is both unlawful and unethical unless it follows independent pathways (that means your GP refers you to the NHS). I cannot transfer your care from private to NHS. I can ask your GP to consider referring you for the same condition but this will follow the same standard NHS pathway and waiting time. This protects NHS resources and ensures fairness.

What I usually do: For conditions requiring urgent NHS pathways (such as suspected cancer triggering a 2-week wait referral), I will liaise with your GP to refer you under the 2ww rule. This is a new referral for urgent investigation, not a transfer of existing private care.

Important limitations:

• I cannot guarantee I will be your treating consultant within the NHS system
• NHS waiting lists and consultant allocation follow NHS protocols outside my control
• If you want guaranteed continuity of care with me specifically, private treatment is the appropriate pathway

The principle: You cannot use private care to "jump the queue" for NHS treatment of the same condition. If you start privately, the expectation is that you complete treatment privately. If you need NHS care for a separate urgent issue I discover during your private consultation, that's a different matter—and I'll ensure you get the appropriate referral.

If cost is a concern before starting treatment, let's discuss NHS options upfront rather than beginning privately with the hope of transferring later.