Fees
Clear, upfront pricing
All fees cover the doctor's consultation time. Any additional investigations or treatments are explained and costed separately before they are arranged.
Consultation fees
What a consultation costs
The same fees apply at all of our clinics.
Most popular
Well-Child / Initial Consultation
45-minute consultation
£320
✓ Comprehensive health assessment
✓ Developmental milestone review
✓ Full physical examination
✓ Personalised health plan
✓ Written consultation summary
Follow-up
Follow-Up Consultation
30 minutes — in person, video or phone
£260
✓ Results and test review
✓ Treatment plan updates
✓ Face-to-face, video or phone
✓ Referral letters if needed
✓ Same clinician continuity
Vaccination
Vaccination Consultation
Review and administration
£170
✓ Immunisation record review
✓ Catch-up vaccinations
✓ Flexible vaccine options
✓ Vaccine schedule planning
✓ Travel vaccination advice
What's not included. Consultation fees cover the doctor's time only. Any additional investigations — blood tests, urine culture, imaging or allergy testing — are arranged through a laboratory or hospital and invoiced separately. We will always explain the likely cost and reason before ordering any test.
Late cancellations and non-attendance. We reserve appointment slots and incur costs for room hire, administration and clinical time. Cancellations with less than two working days' notice, or non-attendance, are charged at £120.
Insurance and payment
How would you like to pay?
We accept all major private health insurers and welcome self-pay patients. Dr Gray's self-pay patients are invoiced by email after the appointment. Dr Burmester's self-pay fee is payable after you book and before your appointment.
Self-pay
No insurance? No problem. No referral is required — simply book directly.
✓ Dr Gray: invoice sent by email after your appointment
✓ Payment within 7–14 days of invoice (Dr Gray)
✓ Dr Burmester: payment after you book, before your appointment
✓ BACS bank transfer or online card payment
✓ No hidden fees — all additional costs discussed first
Private health insurance
Our paediatricians are recognised by all major UK private health insurers: Bupa, AXA Health, Aviva, Cigna, Vitality, Healix, Aetna, WPA and Allianz.
✓ We bill most insurers directly, including Bupa, AXA Health, Aviva and Vitality
✓ Cigna, Aetna and Allianz members pay our fee and claim it back from their insurer
✓ Where your insurer requires pre-authorisation (some don't), it must be in place before your appointment
✓ Some insurers require a GP referral letter
✓ Policy excess is paid by you, to us, separately
Not sure what your policy needs? Call us on 020 3633 2915 and we will help.
Before you book. Please contact your insurer to confirm cover, obtain your authorisation number if one is needed, and check whether a GP referral is needed for your policy.
Using your health insurance
Step by step
Most delays happen because a pre-authorisation number is missing or a GP referral has not been arranged in advance. If you are unsure whether your policy covers paediatric outpatient consultations, call the member services number on your insurance card — it takes around five minutes.
1
Check your policy
Confirm outpatient cover for paediatric specialist consultations. Note your excess and any annual limits.
2
Get a GP referral
If your insurer needs one, ask your GP for a referral letter addressed to us. Most insurers require this before approving a claim.
3
Pre-authorise
Where your insurer requires it, call or log in online to obtain a pre-authorisation reference before your appointment.
4
Book with us
Book your appointment and give us your insurer name, policy number and pre-authorisation reference.
5
Attend and consult
Bring your policy details. Where we bill your insurer directly, you pay only any excess.
6
Invoice and claim
We email a detailed invoice. Cigna, Aetna and Allianz members pay it and submit it to their insurer with any claim form required.
Pre-authorisation
Typical timelines
These are approximate, based on standard online or telephone applications. Complex cases or incomplete referrals may take longer, so always allow extra time before your appointment.
Bupa
24–48 hours
Online via MyBupa or 0333 920 8820. Immediate approval often available for routine outpatient referrals.
AXA Health
24–48 hours
Online via the AXA Health member portal or 0800 003 004. Fast-track available for urgent paediatric referrals.
Vitality Health
24–48 hours
Online via the Vitality app or 0345 601 0072. Decisions often made same day for standard referrals.
Aviva
2–3 working days
Online via MyAviva or 0800 158 3048. Allow extra time if your GP referral was recently issued.
Cigna
2–4 working days
Via Cigna member services or your employer's HR portal. International plan holders may take longer.
WPA Healthcare
1–2 working days
Online via mywpa.co.uk or 01823 625 000. Often straightforward for specialist outpatient.
Not listed? We work with all major UK and international health insurers. Contact us and we will confirm your insurer's requirements.
Documents you will need
✓ Insurance policy certificate or membership card
✓ Pre-authorisation reference number, where your insurer requires one
✓ GP referral letter, if your insurer requires one (addressed to Dr Gray or Dr Burmester)
✓ Photo ID (passport or driving licence) for new patients
✓ Registration and consent form — for Dr Gray at HCA Chiswick Outpatients or The Cromwell we email it after you book; otherwise please complete our online registration first
What we provide for your claim
✓ Itemised invoice with CCSD procedure codes (required by all UK insurers)
✓ Consultant's medical report or clinical letter, if requested by your insurer
✓ Diagnosis and treatment summary on your clinic letter
✓ Receipts for any investigations or procedures carried out
✓ Supporting documentation for onward referrals or follow-up care
Common questions
Fees and payment FAQ
Do I need a referral to book?
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Do I need a referral to book?
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No referral is required for self-pay patients. You can book online or call us on 020 3633 2915. If you are using private health insurance, check your policy — some insurers require a GP referral before they will authorise cover.
What does the consultation fee include?
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What does the consultation fee include?
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The fee covers the doctor's full consultation time — examination, assessment, clinical advice and a written summary letter. It does not cover additional investigations such as blood tests, urine cultures, allergy testing or imaging. These are arranged through a hospital laboratory or diagnostic centre and billed separately. We always discuss the reason and likely cost of any additional test before ordering it.
Do you accept private health insurance, and do you bill my insurer directly?
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Do you accept private health insurance, and do you bill my insurer directly?
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Yes — our paediatricians are recognised by all major UK private health insurers. We bill most insurers directly, including Bupa, AXA Health, Aviva and Vitality, so you pay only any policy excess. Cigna, Aetna and Allianz members pay our fee and claim it back from their insurer. If we cannot bill your insurer directly, we will give you a full itemised invoice to submit yourself.
When is payment due?
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When is payment due?
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Dr Gray's self-pay patients receive an invoice by email after their appointment, due within 7–14 days. Dr Burmester's self-pay fee is payable after you book and before your appointment. We accept BACS bank transfer and online card payment. For most insurers we bill directly and you pay only any excess; Cigna, Aetna and Allianz members pay our fee and claim it back.
Can I claim my consultation back from my insurer after paying myself?
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Can I claim my consultation back from my insurer after paying myself?
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In most cases, yes. You pay our fee (Dr Gray: by invoice after the appointment; Dr Burmester: after booking, before the appointment) and then submit our itemised invoice to your insurer. Where your insurer requires pre-authorisation, it must be in place before the appointment, as most insurers will not reimburse costs incurred without it. Please check your policy terms.
What is pre-authorisation and do I always need one?
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What is pre-authorisation and do I always need one?
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Pre-authorisation is written confirmation from your insurer that they will cover a specific consultation. Most UK insurers require it for specialist outpatient consultations; a few don't. Where your insurer requires it, it must be in place before your appointment, because attending without it may mean your claim is declined even if your policy covers the treatment. Please check with your insurer and give us the number.
My insurer requires a GP referral — can you help if I don't have one?
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My insurer requires a GP referral — can you help if I don't have one?
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A GP referral letter is best obtained from your child's registered GP. If your GP is unavailable quickly, an online GP service may be able to help. If you would like to book self-pay while awaiting a referral, we are happy to see your child and provide a retrospective referral request note for your GP to counter-sign. Please contact us to discuss your situation.
What if my insurer only partially covers the fee?
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What if my insurer only partially covers the fee?
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Some policies have a recognised fee schedule that is lower than the consultant's fee. If so, you are responsible for the difference (a shortfall) plus any policy excess. We always provide a fully itemised invoice so you can see exactly what you are being charged. To check before booking, ask your insurer: "Does my policy cover the full consultant fee, or only up to a recognised fee schedule?"
How long does insurer reimbursement take?
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How long does insurer reimbursement take?
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Where we bill your insurer directly, payment is usually settled between us and the insurer within 20 working days, and you pay nothing beyond any excess. If you claim yourself, most UK insurers process reimbursements within 5–15 working days of receiving a complete claim. Include your pre-authorisation reference, our invoice and any claim form your insurer requires.
How do I cancel or reschedule, and are video or phone consultations available?
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How do I cancel or reschedule, and are video or phone consultations available?
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Please give us at least two working days' notice if you need to cancel or move your appointment. You can call 020 3633 2915 or email [email protected]. Cancellations with less than two working days' notice, or non-attendance, are charged at £120. Follow-up consultations can be face-to-face, by video or by telephone — the fee is the same (£260 for 30 minutes). Initial well-child assessments and vaccination consultations are in person.
Ready to book?
Expert paediatric care, when your child needs it. Same-week appointments are often available.
Sophie Underwood, our Practice Manager, is on hand to answer any questions before or after your appointment. Mon–Fri, 09:00–18:00 · [email protected]