Match the concern to the service and appointment type

Section 1 of 7 · 1 min read

Tell the booking team the reason for the referral and whether you are seeking a new assessment, a second opinion or continuing care. Ask which clinician will see you and whether their practice covers that concern and age group. A general neurology service and a clinic focused on a particular condition may offer different appointment lengths and investigation pathways.

Confirm whether an in-person examination is needed and whether a remote appointment would require a later visit. If you already have a diagnosis, do not assume you qualify for a returning-patient price at a new practice. Ask how records are reviewed and which documents must arrive before the consultation. This makes a comparison of fees meaningful and reduces the chance of booking the wrong kind of appointment.

Keep consultation fees and medicine costs on different lines

Section 2 of 7 · 1 min read

On 20 October 2026, London Neurology Clinic advertised a 50-minute initial consultation from £395 and a 30-minute follow-up from £250. Its page says a private prescription can be included in a consultation, while medicine and delivery costs remain separate; investigations and a result-review appointment may also require further payment. These are starting prices for that clinic.

Confirm the final fee for your clinician, location and appointment time. Inclusion of prescription administration does not promise that a medicine will be prescribed or supplied without charge. If tests are advised, ask for their separate estimates and the review arrangement. Keep each confirmed amount attached to a named service instead of treating the first consultation as an all-inclusive diagnostic package.

Prepare a useful account of events and previous investigations

Section 3 of 7 · 1 min read

UCLH’s appointment guidance emphasises preparation because a consultation has limited time and different conditions need different information. Ask your own clinic what would help. A dated outline of events, relevant previous letters and a current medicine list can make it easier to discuss the concern clearly without trying to recount every detail from memory.

If another person has observed an event, ask the clinic how their account can be included with your agreement. Where existing scans are relevant, check whether images as well as reports must be transferred. Do not send sensitive recordings through an unconfirmed channel. Ask the service which secure method it supports and whether material will be available to the clinician before your appointment begins.

Distinguish imaging from electrical and nerve tests

Section 4 of 7 · 1 min read

An MRI produces images, while an EEG records electrical activity in the brain. Nerve conduction studies and EMG are different neurophysiology investigations again. Their prices cannot be compared as though they are interchangeable ways of purchasing the same information. Ask the requesting clinician to name the exact test and explain its purpose.

Within a test category, scope can vary: the area imaged, recording duration, specialist reporting and appointment setting may differ. Request the details from the provider before comparing quotes. Ask whether the proposed test is needed now and how it might change the plan. A price table cannot determine the most appropriate investigation or show that a larger bundle of tests is clinically better.

Budget for interpretation and the results conversation

Section 5 of 7 · 1 min read

A test appointment may produce a report for the referring clinician rather than a complete explanation to you on the day. Ask who analyses the test, who receives the report and which appointment will discuss the findings. Confirm whether that review is included in a package or charged separately. The NHS EEG guide notes that specialist analysis and a follow-up discussion may be needed; do not assume an immediate result.

Agree a contact and expected timeframe, including what to do if you have heard nothing. If the first result leads to further investigation, request an updated estimate rather than assuming it falls within the original fee. Keep copies of the reports and clinic letters, and ask the clinician to explain any uncertainty. A normal or unclear report still needs to be understood in the context of the original concern.

Use the correct NHS or emergency route for the concern

Section 6 of 7 · 1 min read

Routine NHS neurology care generally follows clinical assessment and the relevant local referral pathway. Discuss options with your GP or current team and ask about arrangements in your UK nation. If obtaining a private opinion while waiting, tell the services involved and clarify what will happen to reports and existing appointments. A privately funded test does not determine NHS priority or guarantee acceptance of a particular plan.

Routine price research must not delay emergency care. The NHS says to call 999 for suspected stroke, including recent stroke signs that have stopped. Its guidance describes sudden face weakness, arm weakness and speech problems, among other signs. Use emergency advice for an acute concern rather than attempting to book a standard neurology consultation through a website.

Agree ongoing responsibility before the first review ends

Section 7 of 7 · 1 min read

If continuing treatment or repeated monitoring is proposed, ask who will prescribe, arrange tests and respond between reviews. Establish whether additional letters or prescription requests outside an appointment have separate charges. Ask how the clinician communicates with your usual care team and what will happen if an intended NHS handover is not accepted. Avoid leaving that responsibility unclear after the private appointment series finishes.

As a practical comparison, write the first visit, each proposed investigation and the results review on separate lines, leaving undecided items open. Add travel and access needs to your own planning rather than hiding them within a claimed clinical total. Our MRI cost guide and NHS/private care guide offer further questions. The useful final document is a plan showing what happens next, who does it and which charges are confirmed.

A PRACTICAL PATH THROUGH THE APPOINTMENT

Before, during and afterwards.

01

Before

  • Confirm the clinician’s scope and whether an examination is needed.
  • Arrange secure transfer of relevant reports, images and event accounts.
  • Check the appointment fee and whether records review is included.
02

During

  • Ask the clinician to explain the purpose of each proposed investigation.
  • Clarify which report and results discussion are included in each quote.
  • Agree how uncertainty and ongoing responsibilities will be handled.
03

After

  • Keep the written findings and next-step plan with your existing records.
  • Contact the responsible service if a result is later than expected.
  • Confirm prescribing and monitoring arrangements before any handover.
Turn information into a plan

Five questions to take with you

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Your questions, answered

Does a private neurology consultation guarantee a diagnosis?

No. Assessment may clarify the concern or identify further information and investigations that are needed. Ask what the appointment can cover and how the next step will be arranged if uncertainty remains.

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Is a test result discussion included in a private scan or EEG fee?

Confirm it explicitly. The provider may supply a report to the referring clinician, with a separate appointment needed to interpret it in context and agree the plan. Ask who is responsible and how to follow up a delayed result.

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Are medicines free if a consultation includes a private prescription?

No such assumption should be made. Prescription administration, the clinical decision to prescribe, medicine supply and delivery are separate matters. The provider should explain which charges its consultation includes.

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Sources & further reading

Source material checked 20 October 2026. Follow the original publication to check current arrangements. The source labels describe the publisher; they are not a quality rating.

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