Match the appointment before comparing the fee
A general psychiatric consultation, a specific neurodevelopmental assessment and a therapy session are different purchases. Tell the booking team what you need help understanding and ask which service can assess it. Request the clinician’s role, appointment length and the age group the service accepts. A short review price should not be compared with the fee for a first assessment.
The NHS describes a mental health assessment as a discussion to understand the support you need. A payment does not buy a predetermined diagnosis or prescription. If your goal is a report for another organisation, ask that organisation what it requires before paying for an assessment intended for a different purpose.
Two providers, with appointment types kept separate
The following fees were checked on 10 November 2026. They illustrate published appointment structures, not equivalent services or a cheapest-provider ranking. The Edinburgh Practice describes its appointments as being with a consultant psychiatrist or specialty doctor; confirm who would see you.
| Provider | Initial appointment | Follow-up example | Separate document or administration example |
|---|---|---|---|
| Arrow Psychiatry | £380 for a regular 60-minute consultation | £240 for 30 minutes | Comprehensive report £100; support letter £75 |
| The Edinburgh Practice | £420 for 60 minutes | £250 for 30 minutes | Brief support letter £40; prescription during an appointment £25 |
Arrow says a plan and summary report are available on request; its comprehensive report is a separate product. Its agreed prescription during an appointment excludes the pharmacy’s medicine charge. Edinburgh’s fee list separates prescription administration from the consultation. Check report scope and all further charges with the provider before booking.
Calculate the appointments you have actually agreed
Ask for the proposed first review date and the price of the expected review length. Record what would trigger an additional appointment, and whether messages between visits are included. A provider may not know the whole course in advance; a useful budget states its assumptions instead of presenting a fixed annual figure as certain.
For an illustrative budget, an assessment costing £400 plus three £200 reviews totals £1,000 before any other charges. Those are invented numbers for arithmetic, not a recommended review schedule or a provider quote. Use the recurring-care cost calculator with the appointments your clinician proposes. Revise the calculation when the plan changes, and keep paid appointments separate from the amount still to come.
Treat reports and prescribing as distinct work
Ask what written document you will receive, who receives a copy and when it is due. A short clinical summary may serve a different purpose from a detailed report addressing employment, education or another assessment. Request a sample description of the scope rather than assuming that every document called a report is interchangeable.
If prescribing is proposed, separate the administration charge, dispensing cost and required reviews. Ask who remains responsible for ongoing assessment and how requests outside appointments are handled. Do not budget on an NHS GP taking over: NHS referral guidance states that a GP need not accept a specialist’s recommendations. Our private and NHS care guide explains the handover questions.
Check the clinician, payment terms and contact arrangements
Use the GMC register to match the named doctor and their registration information. Ask the clinic who performs the assessment, who writes the report and whom you contact afterwards. A clinic’s brand and an individual professional’s role are separate pieces of information.
Read the cancellation and rescheduling terms before paying, including what happens if requested records arrive late or the clinic decides its service is unsuitable. Ask whether an insurance authorisation covers this clinician and appointment rather than relying on a general mental-health benefit. Keep the written confirmation, payment record and expected deliverables together so an omitted report or disputed fee is easier to discuss.
Keep NHS access in the comparison
The NHS access guide for England explains that some mental health services require a GP referral and others allow self-referral. Talk to your usual service about the appropriate route. A private appointment and an NHS referral are separate arrangements; a private receipt does not confirm acceptance by another team.
Check the corresponding local NHS service in Scotland, Wales or Northern Ireland. If the need is talking therapy, compare the different professional roles in our counselling and psychology cost guide. For a specific ADHD assessment, use the ADHD budget guide rather than applying the general consultation figures above.
4 questions to take with you
Tick a question when you have an answer. These reminders stay on this page and are not saved.
0 of 4 questions answered
Your questions, answered
Does an initial psychiatry fee include a diagnosis?
It buys an assessment within the service’s stated scope. A particular diagnosis, prescription or conclusion is not guaranteed.
Are written reports always included?
Check the exact document. A clinical summary, comprehensive report and support letter may be priced differently.
Can I assume my NHS GP will take over prescribing?
No. Discuss the proposal with the receiving clinician and obtain an agreed arrangement. Keep the private follow-up plan clear while a request is considered.
Sources & further reading
Source material checked 10 November 2026. Follow the original publication to check current arrangements. The source labels describe the publisher; they are not a quality rating.
- Arrow Psychiatry: adult consultation, review and document fees ↗Provider or specialist organisationarrowpsychiatry.com
- The Edinburgh Practice: current appointment and administration fees ↗Provider or specialist organisationedinburghpractice.com
- NHS: accessing mental health services in England ↗NHS or public authoritynhs.uk
- NHS: what a mental health assessment involves ↗NHS or public authoritynhs.uk
- GMC: search the professional registers ↗Regulatorgmc-uk.org
- NHS: referrals and private specialist recommendations ↗NHS or public authoritynhs.uk