New Patient Enquiries

If you are interested in an appointment, please contact us directly via email or call the office at 0203 488 44 68 to leave a message.

When reaching out, kindly provide a brief overview of your inquiry so we can determine the best way forward.

• If we are able to assist, we will arrange an appointment and send you a questionnaire and consent form to complete before the assessment.

• If we are unable to help, we will do our best to direct you to a more appropriate service.

We appreciate your patience and look forward to assisting you.

Is This the Right Service for You?

Our clinic provides specialized mental health care. However, there are certain situations where a different service may be more appropriate. Please consider the following:

• Is your child unable to engage in an assessment or review for any reason?

• Does your child have severe eating difficulties that have led to dangerously low weight and compromised physical health?

• Is your child experiencing hallucinations or delusions (unusual or false beliefs)?

• Is your child misusing alcohol or narcotics beyond recreational use?

• Is your child actively suicidal, with intent to act on these thoughts, or at high risk of becoming suicidal soon?

• Is your child self-harming beyond superficial cuts or burns?

• Does your child have a severe learning disability that requires specialized services?

• Is your child exhibiting aggressive behavior that has led to police involvement?

• Are forensic or social services currently involved in your child’s care?

If any of the above apply, we may not be the most suitable service to meet your child’s needs. However, we encourage you to reach out if you have any questions, and we will do our best to guide you toward the appropriate support.

Assessment

Your first visit will be a comprehensive, supportive evaluation where we explore current challenges and find the best way forward. My goal is to create a comfortable and safe space where you or your child can express themselves freely. I engage younger patients in a gentle, creative, and interactive way, often using toys and art materials to help them communicate their feelings.

The assessment process usually takes two to four sessions, depending on individual needs. If we are considering Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD), additional specialized assessmentsmay be recommended. With your consent, I may also contact teachers or school staff to gather a fuller picture of your child’s strengths and challenges.

Beyond mental health concerns, I take a holistic approach, considering:
✔ Emotional, cognitive, and social development
✔ Physical health and lifestyle choices
✔ Family and social dynamics
✔ Educational experiences and support needs

If additional information is needed, I may suggest health checks, genetic testing, or blood tests to help tailor the best treatment plan.

For parents concerned about teenagers who are reluctant to attend, I offer an initial consultation for parents to explore the best strategies for engagement.

At the end of the assessment, I will share my initial impressions and a personalized treatment plan. You will also receive a detailed written summary of our findings and recommendations.

If you’re considering an assessment and would like to learn more, please feel free to reach out.

Treatment

Every treatment plan is designed to meet your unique needs and preferences. This may include:
✔ Psychiatric reviews to monitor progress
✔ Psychological therapies for individuals or families
✔ Medication, if appropriate
✔ Referrals to trusted specialists

I work closely with a network of professionals, including:
✔ GPs
✔ Psychologists & psychotherapists
✔ Family therapists
✔ Pediatricians
✔ Speech and language therapists
✔ Occupational therapists
✔ Dietitians

Because your GP plays a key role in long-term care, I will provide them with a summary of my assessment and recommendations (with your permission). This ensures that you or your child receive ongoing support in all aspects of health and well-being.

Payment & Fees

Consultation Fees (Updated on 01.10.2024)

• Initial Appointment: £600 (55 minutes)

• Follow-up Appointments:

  • £440 (55 minutes)

  • £225 (30 minutes)

Assessment summaries and GP letters are provided free of charge. When appropriate, a letter will also be sent to the referrer at no additional cost.

The initial consultation fee must be paid at the time of booking to confirm the appointment. Follow-up appointment fees must be paid at least 48 hours in advance.

Additional Fees

• Prescriptions Issued Outside of a Consultation:

  • Controlled Drugs: £70

  • Non-Controlled Drugs: £40

• Administrative Services (e.g., form completion, telephone/email correspondence exceeding 10 minutes): £100 per 15-minute interval

Insurance & Billing

If you have private medical insurance, please contact your insurer before your consultation and provide full details in advance.

✔ Registered with: BUPA Global, BUPA UK, WPA, AVIVA
✘ Not registered with: AXA or Vitality

• Fees for BUPA UK patients may differ from the standard tariffs and will be confirmed before treatment.

• BUPA UK follow-up appointments are 25 minutes, in accordance with BUPA UK’s tariff.

• If your insurer does not cover the full cost, you are personally responsible for any outstanding charges.

Neurodevelopmental Assessments (ASC & ADHD) have different fees. Please refer to the relevant section for details.

For self-paying patients, invoices and receipts will be sent via Xero (accounting software). Payments can be made via PayPal or bank transfer.

Cancellations & Non-Attendance

If you are unable to attend your appointment, please provide at least 48 hours’ notice (excluding weekends). Failure to cancel within this timeframe will result in the full consultation fee being charged.

Medical Records Retention & Disclosure

We maintain complete and secure medical records, which include personal and sensitive data. All records are stored electronically and are encrypted both in transit and at rest to ensure confidentiality.

Access to Medical Records

You have the right to review your medical records at any time, except in cases where doing so may compromise your emotional or physical well-being. If you wish to access your records, I recommend reviewing them together to minimize any confusion or misinterpretation of medical terminology.

Requests for records, including collection, printing, copying, or summarization, may incur an administrative fee. All requested information will be provided within 30 calendar days.

Retention & Deletion of Records

Medical records are retained for as long as necessary to provide the requested service. Beyond this, records will be securely stored for up to 20 years following the conclusion of your assessment and/or treatment, in accordance with the Information Governance Alliance’s guidelines for mental health records.

After this period, all data will be securely deleted, unless otherwise requested.

CONFIDENTIALITY

The security of your sensitive information and confidentiality is 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 & Confidentiality

We strive to maintain clear and secure communication with all our patients.

• Email Correspondence: Emails are checked intermittently. Please do not send urgent inquiries via email, as response times may vary.

• If you need to leave a message, please call 0203 484 44 68 or email us at info@esracaglar.com.

• Medical Emergencies: We do not provide emergency medical services. In the event of an emergency, please contact emergency services immediately.

Security & Confidentiality

Protecting your personal and sensitive data is our top priority. While we take extensive precautions to ensure the security of our communication systems, email and internet-based communication are not always completely secure. By choosing to communicate via email, you acknowledge and accept the inherent privacy risks associated with electronic correspondence and data transfer.

Complaints

We take all complaints seriously and are committed to handling them professionally, respectfully, and promptly. If you wish to make a complaint, you may:

• Speak directly with Dr. Caglar

• Email us at info@esracaglar.com

We aim to resolve all concerns as quickly and efficiently as possible.

Assessment of Neurodevelopmental Disorders

We offer comprehensive assessments for Autism Spectrum Condition (ASC) and Attention Deficit Hyperactivity Disorder (ADHD) in children and young adults (ages 5-25). Our approach is thorough, evidence-based, and collaborative, ensuring a well-rounded understanding of each individual’s needs.

Autism Spectrum Condition (ASC)

Autism is a neurodevelopmental condition that affects how individuals communicate, form relationships, and engage in daily activities. These differences are typically present from early childhood, although they may become more noticeable over time.

Autism exists on a spectrum, meaning that each person experiences it in unique ways and to varying degrees. Some may require minimal support, while others may need more structured assistance.

Assessment Process

Before the first consultation, we will ask you to complete pre-assessment forms. We will also send additional ASC-specific questionnaires. With your permission, we may contact your child’s school to gather feedback.

Our assessment process follows international best practices and includes:

• Initial Consultation (90 minutes, with parents)

  • Discussion of current concerns and developmental history.

  • Completion of the Autism Diagnostic Interview-Revised (ADI-R), a structured parent interview designed to assess autism traits.

• ADOS Assessment (Face-to-Face Meeting)

  • The Autism Diagnostic Observation Schedule (ADOS) is a play- and interaction-based assessment conducted with the child or young adult.

  • This session lasts approximately 60 minutes for younger children and 90 minutes for older children and young adults.

  • The assessment is conducted by Perla Toledo, a graduate member of the British Psychological Society, trained in ADOS administration.

• Additional Meeting (if required)

  • A follow-up session may be scheduled with either parents or the young person for further discussion.

• Liaison with Other Professionals (if applicable)

  • With your permission, we may collaborate with teachers, therapists, or other professionals involved in your child’s care.

  • A remote school meeting can be arranged, and parents are encouraged to attend.

• Feedback Session (30 minutes)

  • Preliminary impressions and recommendations are discussed.

  • A comprehensive written report is provided within three weeks of completing the assessment and receiving all required forms.

Fees

The ASC assessment fee is £2,900. This does not include additional sessions required to assess co-occurring conditions, if applicable.

Attention Deficit Hyperactivity Disorder (ADHD)

ADHD is a neurodevelopmental condition characterized by difficulties with attention, impulsivity, and hyperactivity. These challenges are typically present from early childhood, though they may become more apparent in structured environments like school or work.

Assessment Process

Before the first consultation, we will ask you to complete pre-assessment forms, followed by additional ADHD-specific questionnaires. With your permission, we may also contact your child’s school for feedback.

The assessment process includes:

• Initial Consultation (55 minutes)

  • Discussion of current concerns with parents or the patient.

• QbCheck & Clinical Assessment (55 minutes)

  • QbCheck is an objective, computer-based test that tracks hyperactivity, impulsivity, and inattentionusing a motion-tracking system.

  • This session also includes a comprehensive clinical review and mental state examination.

• Liaison with Other Professionals (if applicable)

  • With your permission, we may collaborate with teachers, therapists, or other professionals.

  • A school meeting can be arranged, and parents are encouraged to attend.

• Feedback Session (30 minutes)

  • Preliminary impressions and recommendations are discussed.

  • A comprehensive written report, including the diagnosis and treatment plan, is provided within three weeks of completing the assessment and receiving all required forms.

Fees

The ADHD assessment fee is £1,950. Additional sessions may be required for co-occurring conditions, which are not included in this fee.

Next Steps

If you are considering an ASC or ADHD assessment, please contact us via email or phone to discuss availability. We will provide initial forms to complete, and once these are received, we will schedule your first consultation.

Last updated on 17.03.2025 

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