Online GP and Video Consultations 2026. What Can Be Handled Remotely, What Cannot, and What It Costs
At The Online GP by The Wellness, a video consultation is a genuine clinical appointment for a defined set of problems and a poor substitute for examination in the rest, and the difference is not marketing, it is whether the diagnosis depends on physical findings. Handled well remotely. Results review and interpretation, medication reviews and repeat prescribing, contraception and sexual health advice, travel health planning, mental health assessment and follow-up, most skin problems where clear photographs are available, urinary symptoms in otherwise well adults, and the large category of questions where what you need is 20 minutes with a doctor rather than a physical examination. Not appropriate remotely. Anything needing palpation of the abdomen, auscultation of the chest, examination of an ear, a joint, a lump, an eye or a testicle, and anything where the possibility of serious disease turns on findings a camera cannot produce. Chest pain, severe breathlessness, stroke symptoms, a new severe headache, abdominal pain with fever and any collapse are emergencies and belong with 999 rather than any appointment. There are also legal boundaries. Controlled drugs are prescribed only within the law and GMC remote prescribing guidance, and generally not at a first remote consultation, and a doctor who has never met you cannot responsibly start certain treatments on a screen. Same-day video consultation from £150, mini consultation from £59. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 21 September 2026.
Book a video consultation on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
What video handles well
Results and interpretation. If bloods have been taken and what you need is somebody to explain what a ferritin of 22 or a TSH of 4.8 means for you and what to do about it, a screen is as good as a room.
Medication. Reviews, dose changes, side effects, and private prescriptions for conditions already established, issued electronically to a pharmacy of your choice.
Mental health. Assessment, review and follow-up work well by video, and for a considerable number of people the format removes a barrier rather than creating one.
Skin, with caveats. Many rashes, acne, suspected fungal infection and known conditions flaring can be assessed from good photographs taken in daylight. Anything pigmented and changing needs to be seen in person with dermoscopy rather than judged from a phone camera.
Sexual health and contraception. Advice, testing arranged, and prescribing where appropriate.
Travel health. Destination risk, what you need and in what order, with vaccination booked in person afterwards.
Follow-up of almost anything. Once you have been examined and a plan exists, the review does not need another journey.
What video cannot do
If the diagnosis depends on touching or listening, video is guessing. Abdominal pain needs an abdomen palpated. A chest infection needs a chest listened to. Ear pain needs an otoscope. A lump needs to be felt. A swollen joint needs to be moved. A red eye needs to be examined properly. Testicular pain needs examination the same day, urgently.
There is also a category of problem where the risk is not in the likely diagnosis but in the unlikely one, and a remote consultation cannot exclude it. New unexplained weight loss, a change in bowel habit over 6 weeks, persistent hoarseness, unexplained bleeding, a first seizure, a headache that is new and severe. These need to be seen.
And some things are emergencies. Chest pain, stroke symptoms, severe breathlessness, heavy bleeding, anaphylaxis, sudden severe abdominal pain or collapse need 999 or an emergency department. Booking a video appointment for any of those loses time that matters.
Ask whether video is suitable for your problem on WhatsApp or email team@thewellnesslondon.com.
The prescribing boundaries, plainly
Remote prescribing is lawful and is governed by GMC guidance on prescribing and managing medicines, which requires the doctor to have adequate knowledge of your health and to be satisfied the medicine serves your needs.
In practice that means several things patients are frequently not told upfront.
Controlled drugs, including opioids, benzodiazepines, z-drugs and stimulants, are prescribed only within the law and GMC guidance, and generally not at a first remote consultation. Requests for these are assessed on clinical need with prior records sought, and declined where that is the right answer.
Antibiotics are prescribed where there is a clinical indication, not on request. Remote consultations are a well-documented driver of unnecessary antibiotic prescribing, and a service that never declines is not a safer service.
Some treatments require baseline measurements, blood tests or monitoring before or during use, and those cannot be skipped because the consultation happened on a screen.
Where a prescription is not appropriate remotely, we will say so and offer an in-person appointment rather than issue something to close the interaction.
How a video consultation works
Contact us by WhatsApp, email or phone, usually for a same-day slot, 7 days a week.
You are sent a link. No app or account is needed and the consultation runs in a browser on a phone, tablet or computer.
Send photographs in advance where the problem is visual, taken in daylight, in focus, with something for scale.
The consultation covers history, an assessment of what can be assessed, and a plan. Where the plan requires examination or bloods, you are offered an appointment at 10 Portman Square or a home, hotel or office visit rather than left to arrange it.
Prescriptions, sick notes and referral letters are issued during or immediately after the consultation where they are clinically appropriate.
You receive a written summary, which we encourage you to share with your NHS GP.
What does an online GP cost
Online GP services in the UK range from subscription apps at £10 to £30 a month with short appointments, to one-off private video consultations at £50 to £180, to membership practices charging £1,000 to £5,000 or more annually before per-visit fees. The variable that matters is appointment length and whether the same doctor handles the follow-through.
At The Wellness there is no subscription and no membership. All figures are from prices.
Executive Health Programme, the most comprehensive assessment with full biomarker profiling and coordinated imaging, from £11,995.
Complete Biomarker Assessment, over 100 markers with extended review, from £1,400.
Home, hotel or office visit from £495 daytime and £695 evenings and weekends, with additional household members from £195 each.
Comprehensive Blood Panel with consultation and interpretation, from £495.
Extended 45-minute consultation for complex problems, with a written plan, from £395.
Targeted Blood Panel with interpretation, from £295.
In-person GP consultation from £220.
Same-day video consultation from £150.
Mini consultation from £59, for a single focused question, a result, or a straightforward review.
Private prescriptions, sick notes and referral letters issued during the consultation where clinically appropriate.
Same-day appointments 7 days a week, with in-person follow-up at 10 Portman Square, Marylebone, 3 minutes from Baker Street.
Why The Wellness is the best place in London for online GP care
Because the video appointment is part of a clinic rather than a call centre. When the answer is that you need examining, bloods taking or a scan arranging, that happens here with the same doctor rather than being handed back to you as advice.
Because appointments are long enough to be useful. A 5-minute remote slot is a triage encounter, and most of the problems people bring to an online GP are not triage problems.
Because we decline prescriptions that should be declined. Antibiotics without an indication and controlled drugs at a first remote consultation are the two commonest requests, and a service that issues them on demand is selling compliance rather than medicine.
Because continuity is possible. The same doctor can follow you across video, clinic and home visits, which is the part subscription apps structurally cannot offer.
And because access is genuinely broad. Same day, 7 days a week, with consultations available in English, Arabic, French, Spanish and Dutch, which suits people working across time zones and visitors to London.
Related reading
Private GP in London covers the full consultation range, private sick notes and prescriptions covers documentation, private specialist referral explains how consultant appointments are arranged, biomarker screening covers the blood panels, and healthcare for visitors to London covers being seen without an NHS registration.
Book a video consultation on WhatsApp or call 020 3951 3429.
Frequently asked questions
What can an online GP actually treat
Results interpretation, medication reviews and repeat prescribing, mental health assessment and follow-up, contraception and sexual health, travel health planning, many skin problems from clear photographs, and follow-up of anything already examined. Problems needing palpation, auscultation or examination of an ear, eye, joint, lump or testicle need to be seen in person.
Can an online GP prescribe antibiotics
Where there is a clinical indication, yes. Not on request. Remote consultations are a known driver of unnecessary antibiotic prescribing, and a service that never declines is not a safer service.
Can an online GP prescribe controlled drugs
Only within the law and GMC guidance, and generally not at a first remote consultation. Requests are assessed on clinical need with prior records sought, and declined where that is the right answer.
Is a video GP appointment as good as seeing someone in person
For a defined set of problems, yes. Where the diagnosis depends on physical examination, no. The test is whether the answer turns on findings a camera cannot produce, and we will tell you when it does.
How quickly can I get an online GP appointment
Same-day appointments are available 7 days a week, with in-person follow-up at 10 Portman Square, Marylebone, where examination or blood testing is needed.
Can I get a sick note or referral letter from a video consultation
Yes, where it is clinically appropriate, issued during or immediately after the consultation. A referral is made to a named consultant with the appointment booked rather than handed over as an open letter.
The Wellness is a doctor-led private healthcare group providing medical care from 10 Portman Square, Marylebone, adjacent to Harley Street. All doctors are GMC-registered. Remote consultations are provided in line with General Medical Council guidance on remote consultations and prescribing, and a prescription is issued only where it is clinically appropriate. Private GP services in England that provide regulated activity are registered with the Care Quality Commission [REGISTRATION DETAILS TO CONFIRM]. Chest pain, stroke symptoms, severe breathlessness, heavy bleeding or collapse are emergencies. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. General Medical Council, Good practice in prescribing and managing medicines and devices, including guidance on remote consultations and prescribing. General Medical Council guidance on remote consultations. Care Quality Commission registration requirements and guidance for online primary care providers in England. NICE guidance on antimicrobial stewardship and on self-limiting respiratory tract infections. Misuse of Drugs Regulations 2001 as they apply to the prescribing of controlled drugs. Published 2026 UK online GP market pricing.
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