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Who can be seen at this clinic
Under NHS rules I’m not allowed to see any patients registered with Glastonbury Surgery as that is where I work as a GP partner.
I can see women via video link if they are over the age of 18 and residing in the UK but not women living in the Channel Islands. Those living locally may have the option of a face to face appointment in my clinic in Wells, depending on the Covid-19 pandemic situation.
If you have had a hormone dependent cancer (breast cancer, endometrial cancer or certain types of ovarian cancer) I’m afraid I’m unable to prescribe HRT for you unless I have written agreement from your oncologist. However we can discuss other treatment options and lifestyle changes to help with your symptoms. Long-term local (vaginal) oestrogen is usually still a safe option.
The initial consultation
I offer a 45 minute (minimum) consultation to discuss your experience of the menopause, medical history and how your symptoms can be improved. I can advise on starting HRT or trying different HRT preparations if you are not getting on well with your current regime. We can also discuss your general health and lifestyle and look at ways of improving your health and wellbeing going forward.
I will send you a summary of your consultation with other information leaflets as indicated. With your approval I will then post a copy of the summary to your GP for your NHS records.
After the consultation
Everyone responds differently to HRT and there may need to be several adjustments in type and dosage over the first year or so. You can email me with any questions after your appointment or once you have started HRT (no extra charge over the first 3 months).
Follow up consultations
There are so many different symptoms caused by falling oestrogen levels, some of which may be a surprise to you or your doctor. This symptom checker (click to download or open) may be useful to print off and fill in if you are having a GP consultation.
If attending my clinic, we will go through these symptoms during the consultation – filling it in beforehand is optional and can be done online here. It will be sent to the clinic automatically but you will still need to book a consultation to discuss your symptoms. I can’t respond to messages sent via the symptom checker and filling it in does not work as a request for an appointment or to go on the waiting list.
Fees from 1.6.2021
New patient video consultation – 45 minutes (includes a detailed letter to you and your GP, information leaflets and follow-up emails if you have questions over the first 3 months) £220
Follow-up video consultation after 3 months (sooner if needed) or annual follow-up – 20 minutes £100
Charge for issuing a private repeat prescription if not part of a consultation (only if you are having appropriate monitoring) £30
Charge for writing letters if not part of a consultation £30
How to book an appointment
Appointments can be made easily via a secure online medical system called Heydoc. Once you have made an appointment you will be sent a confirmation email with a link to click on at the agreed time to activate the video. If you do not receive this email within a few minutes of booking, please do check in your junk mail and if not there do email the clinic to let us know. If you would prefer a telephone consultation please email the clinic AFTER booking.
In the unlikely event of the video technology not working at the time of your consultation, I will telephone you – we can then talk on the phone or via FaceTime or Zoom, whichever you prefer.
Payment will be requested and taken from your account via the payment processor STRIPE at the time of booking. If you prefer to pay by a different method you will need to email the clinic BEFORE booking.
Cancellations with at least 48 hours notice will be fully refunded within 5 to 10 working days. If under 48 hours notice, the refund will be 50% of the fee.
Please fill in the medical questionnaire before your first appointment. The link for this is in your booking confirmation email. There is no need to fill this in if you have booked a follow up consultation. Please have photo ID available at your first video appointment.
Online clinics currently run mostly on Monday afternoons but occasionally on other days as well.
UPDATE NOVEMBER 2021 I’m fully booked for new patient consultations until Spring 2022. Please email the clinic if you would like to be informed when I release more appointments for March and April 2022.
If you are a current patient having problems or you can’t find a suitable follow up appointment before you will run out of your medication, please email the clinic.
STOP PRESS 8.9.21 FOR CURRENT PATIENTS WHO USE OESTROGEL
Some patients are finding that their menopausal symptoms have returned when changing to the new pump-packs of Oestrogel (same pack but slightly different label). Please see my Instagram posts from 5th, 6th and 25th September for photos and more information. I have also done a video on this.
If you feel your Oestrogel is no longer working for you, please email the clinic to arrange a follow up consultation to discuss this. I am putting on extra clinics to address the issue but these are not available on the online booking system at present.