To help your consultation run as smoothly as possible, we have put together a checklist for our patients.
Let us help you to spread the cost of your medical care. Paying a small fee monthly will cover all appointments, casework, consultant liaison and referral letters as well as telephone and email contacts and prescriptions. There are significant discounts on health checks and home visits too, and no hassle with invoices. Laboratory fees and injections are not included and will be billed separately.
The health club can be paid for annually or monthly, although the initial payment will be for 6 months of membership.
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*Family membership covers 2 adults and 2 dependent children. Additional children can be added for £50 a month each.
We hope to have answered most of your questions here but please get in touch if there is anything you would like to know about our private London GP clinic in Marylebone.
Like all doctors licensed to practise in the UK, Dr Tickle is bound by the GMC Duties of a Doctor. Everything you discuss with your doctor is confidential and cannot be shared with anyone else without your permission. There are a couple of notable exceptions, such as when a child might come to harm or when terrorism or other serious crimes are threatened. If you are also registered to an NHS General Practitioner then it is probably safer to keep them informed of any significant changes in your health and medications but this can be discussed with Dr Tickle at your appointment if it causes you concerns.
Dr Elaine Tickle believes that everyone needs time to discuss and explore their medical problems, so provides a 20-25 minute standard consultation and allows up to an hour for new patients.
We believe it is very important that you are able to reach Dr Tickle when you need her. We ask that new and existing patients call our Harley Street practice during surgery hours in the first instance. If the line is engaged, please leave a message and we promise to return your call as soon as possible. Our answer machine messages are closely monitored. All registered patients are given Dr Tickle’s mobile phone number but we respectfully request that the practice number is used during office hours. We ask that patients do not send SMS messages as they cannot be managed safely.
Referring patients on for specialist investigations, treatments and advice is a core function of General Practice. Dr Tickle, your private Harley Street doctor, is particularly keen to find the right specialist for you; someone who is clinically skilled and likely to offer you the information you need in a manner that suits you. Dr Tickle only refers to consultants whom she trusts and whose work she is happy with.
Referral appointments are almost always arranged within a week - and sometimes within a couple of days.
Yes. Dr Tickle, a private GP, is happy to visit within North and West London and further afield by special arrangement. The cost of a visit depends on the time taken to complete the visit including travel to and from your home. Visits can be arranged at any time by calling Dr Tickle or her office and requesting a visit. It should then be possible to give you an approximate time for the visit.
As the surgery is committed to patient safety and comfort there is always the option for a chaperone to be present. This could be a relative or friend or we can arrange to have a formally trained chaperone available if required although this could limit the availability of appointments. There may be times when the doctor treating you would wish a chaperone to be present during an examination and this will be discussed if the situation arises. For further information on the use of chaperones please see our policy.
Dr Tickle is committed to providing a safe, comfortable environment where patients and staff can be confident that best practice is being followed at all times and the safety of everyone is of paramount importance.
All patients are entitled to have a chaperone present for any consultation, examination or procedure where they feel one is required. This chaperone may be a family member or friend. On occasions you may prefer a formal chaperone to be present, i.e. a trained member of staff.
Wherever possible we would ask you to make this request at the time of booking the appointment so that arrangements can be made and your appointment is not delayed in any way. Where this is not possible we will endeavour to provide a formal chaperone at the time of request. However occasionally it may be necessary to reschedule your appointment.
Your healthcare professional may also require a chaperone to be present for certain consultations in accordance with our chaperone policy.
Most blood test results are returned within 24 hours. Dr Tickle will assess the results before writing to you with a copy of your test results for information. If there are any unexpected abnormal results, Dr Tickle will usually telephone you to discuss these. To avoid any prolonged anxiety, HIV test results are usually back within 2 - 4 hours and will be given to you personally by Dr Tickle.
We accept payment by cash, cheques and all major credit and debit cards except American Express. Please note that our payment policy is that consultations are paid at the time of consultation. In order to keep our charges competitive we make no provision for extended credit terms in our pricing structure.
Telephone consultations are very useful for follow-up after starting medication or for general advice about health issues. They are not particularly useful for monitoring the progress of longstanding illnesses, when blood tests will need to be performed or for any ailments that require inspection, such as skin rashes. If you make a telephone consultation and it becomes clear that you need an appointment this will be arranged and no charge will be made for the telephone consultation.
Patients who are registered to our London practice can request repeat prescriptions at any time by email, telephone or letter, or by using the form on our contact page. If you have been seen regularly there is no charge for provision of repeat prescriptions. Prescriptions will be available for collection from reception 24 hours after the request has been received. They can also be posted to your home address or your nominated pharmacy free of charge.
If your medication is required urgently we can fax a prescription request through to your nominated pharmacy, or to the Independent Dispensary, which is able to deliver medication within central London. Organising these prescriptions is a time consuming process so an administration fee will be charged.
Some insurance policies will cover general practice or primary care services. Typically international polices and some American policies will. It is advisable to check with your insurer. When insurance policies don’t cover Dr Tickle’s services, they will often cover any further tests and investigations required before you are referred to a specialist.
We strongly recommend that you have your medical health insurance policy in place before you visit us and advise that you contact a reputable health insurance broker, as this is an increasingly specialised area.
We cannot stress enough how important it is to read the small print of your insurance policy. Please also remember that for most policies there is a total exclusion on any conditions you already had before you took out the policy – and your doctor is legally obliged to provide details of your pre-existing conditions.
If you believe you are covered by insurance we would respectfully request that you settle your invoice and then claim back the amount through your policy. We accept cash, cheques and all major credit and debit cards except American Express.
Dr Tickle requests 24 hours’ notice to rearrange or cancel your appointment. Patients who fail to attend their appointment or cancel within four hours of an appointment are charged the full consultation fee.
Your care is always our priority. If you require GP services out of office hours or during holiday periods, Dr Tickle provides cover with a local, highly regarded doctor.
A patient of ours, who is from the US, kindly wrote this document for those who have recently arrived in the UK from America. We hope you find it useful.
Regretfully the Harley Street building in which we are housed is not yet wheelchair accessible. There are two steps to the pavement and a ramp is available on request to access the building by wheelchair. Dr Tickle’s consulting rooms are on the lower floor but an alternative room on the ground floor is available to those with mobility difficulties. Please mention any access issues when you book your appointment and we will do all we can to help.
Some people can be frightened about gaining a second opinion because they worry about upsetting their usual doctors, but we can honestly say that we don’t take it personally. In fact, many doctors believe in the old adage ‘measure twice, cut once’.
If you have private health insurance you may wish to take a second opinion and Dr Tickle is very happy to help in these cases.
If you are in pain or have been suffering with a condition for some time, these four words can strike hard. In truth, what they often mean is ‘nothing can be done with the resources I have’. If you feel you are stuck in the system or are not being heard where you are, then please get in touch. The long new patient appointment is ideal for full exploration of complex medical issues. If something can be done, Dr Tickle will do all she can to help you personally, or by referring you to the best person for your specific needs. It is very important in these instances to ensure continuity between NHS and Private Care provision, to prevent exposure to duplicate investigations or to prevent errors with medication, so we recommend liaison with your existing health care providers wherever possible.
We are always very happy to have feedback, in verbal or written format as these help us to improve our service to you. In the event that we have fallen short of your expectations and you are moved to make a formal complaint, please address this in writing to the Practice Manager (complaints) and we will follow the Complaints Procedure of the Independent Doctors Federation, which is the Reporting Body to whom we belong. Click here to download our complaints procedure guide