How I work...


SERVICES OFFERED

ASSESSMENT

I carry out assessments of children, adolescents and adults with a wide range of emotional, behavioural and neurodevelopmental difficulties. I am approved to carry out specialist diagnostic tests including the ADOS (Autism Diagnostic Observation Schedule). 

I ask you to complete a questionnaire prior to our initial meeting. At your first visit, I will conduct a thorough review of the current difficulties. The assessment may last from 1 to 3 sessions. In some instances, for example where Attention Deficit Hyperkinetic Disorder or Social Communication Disorders are being considered, additional specialised assessments may be recommended. If the consultation is with regards to a child, it may also be helpful to contact the child’s school to gather more information to help complete the assessment

By the end of the assessment I will offer my preliminary impressions, and we will discuss a management plan including treatment options. I will write a summary of my assessment and send it to you.

TREATMENT

I will tailor your treatment package to your individual needs. This may include psychiatric reviews, psychological therapies for individuals and/or families, prescribed medication or referral to other professionals. I work closely with GPs, psychologists, psychotherapists, family therapists, paediatricians, neurologists, speech and language therapists, occupational therapists, dietitians and other professionals.

The most relevant psychological therapy will be planned either individually for the child or the adult, for the family as a whole, or a combination of both. The sessions for psychological treatment initially take place on a weekly basis and the length of treatment and frequency of the sessions will differ according to the treatment. Occasionally medication is appropriate and I may recommend it. However, I will first discuss this in detail with you and enable you to consider the potential pitfalls and to weigh up the pros and cons of this course of action.

In the U.K. healthcare system, the GP. holds the overall view of a patient's health, and it is important that they are aware of the assessment so they can continue to support the patient appropriately. With your permission, I will write to your/your child’s GP about my assessment and treatment.

PAYMENT

The appointments last 50 minutes. Assessment summary and GP letters are free of charge. When appropriate, a letter will also be sent to the referrer free of charge.

The initial consultation is £300. The initial consultation fee is payable at the time of booking to confirm the appointment. Full details of your insurers must be made available prior to appointment.

Follow up appointments are £170. Follow up appointment fees must be paid 48 hours in advance of the appointment.

Other miscellaneous services such as filling forms, telephone/email correspondence etc. requiring more than ten minutes of time, will cost £60 per fifteen-minute interval.

If you have private medical insurance, please contact your insurer before your consultation. Please note that even if someone else is paying your bill or you have private medical insurance, you are responsible for paying any charges that they do not pay.

I am fee-assured by BUPA UK, which means the above fees may differ from the above for BUPA UK patients.

If you are self-paying you will receive invoices and receipts from Xero, which is the accountancy software I use, and you will have the option to pay either by PayPal or you can make a bank transfer to my Barclays Business Account.

CANCELLATIONS AND NON-ATTENDANCE

Unfortunately, I am not able to see all new patients as promptly as I would like to due to the large number of referrals. If you are unable to make your appointment please provide at least 48 hours notice (this does not include weekends) so that there is time to arrange for someone from the waiting list to be seen.  If sufficient notice (48 hours) is not provided, then the full consultation fee will be charged.

MEDICAL RECORDS RETENTION AND DISCLOSURE

I keep complete medical records, which includes personal and sensitive data. The medical records are stored electronically and encrypted in transit and at rest. Any paper records including consent forms, letters, outside medical records, will be scanned and disposed off appropriately.

You are entitled to review your medical record at any time, unless I feel that by viewing your records, your emotional or physical well-being will be jeopardized. If you wish to view your records, I recommend that we review them together to minimize any confusion or misinterpretation of medical terms. Time spent collecting, printing, copying, and summarizing the medical record will be charged the appropriate fee. Information will be provided to you within 30 calendar days.

Your information is kept for the time necessary to provide the service requested, however outside of this I will hold your medical records for a period of up to 20 years following the end of assessment and/or treatment to comply with the recommendations of the Information Governance Alliance with regards to mental health records. After this date, all data will be securely deleted unless requested otherwise.

CONFIDENTIALITY

The security of your sensitive information and confidentiality are of utmost importance to me. I follow General Medical Council’s guidelines on confidentiality and sharing information. Please read the following documents for the details.

https://www.gmc-uk.org/-/media/documents/consent---english-0617_pdf-48903482.pdf

https://www.gmc-uk.org/-/media/documents/0_18_years___English_1015.pdf_48903188.pdf

There are exceptions to this confidentiality, where disclosure is mandatory when anyone is at risk.

https://www.gmc-uk.org/-/media/documents/protecting-children-and-young-people---english-1015_pdf-48978248.pdf

https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/confidentiality

COMMUNICATION

I send all sensitive information using encrypted emails. Please send me sensitive information via secure email or post only. I use an email encryption service called Egress. You will be able to reply to me and send me documents using Egress. Egress meets the GDPR compliance for data protection.

Emails are checked intermittently and please do not send any urgent enquiries via email.

I do not provide a service for medical emergencies. If there is an emergency, please contact emergency services.

For managing my bookings I work with a UK-based company, Clinical Appointments, who are fully GDPR compliant and only hold your contact details necessary for booking and changing appointments. The data they hold on you is encrypted.

 

Medicolegal Reports

I provide psychiatric assessments and reports for the courts. I carry out assessments for personal injury, compensation cases, family law matters (e.g. care proceedings, disputed custody, residence and contact arrangements) and youth and crown court matters (e.g. fitness to plead, assessment of capacity) involving children with emotional, behavioural or neurodevelopmental difficulties. I take on both privately funded cases and legal aid funded cases.


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