GP Services Guide

Private GP vs NHS — What's the Difference?

Waiting times, costs, quality of care, and when it makes sense to use each. An honest guide from our clinical team at Lambert Medical Practice.

Dr Bruno Pereira, Clinical Director March 2026 8 min read
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The NHS Is Extraordinary — But It's Under Pressure

The National Health Service is one of the most important institutions Britain has ever created. For emergencies, chronic disease management, complex surgery, and long-term care, it remains unrivalled. But the reality for millions of patients in 2026 is that routine GP appointments can take two, three, or even four weeks to secure — and that wait can feel impossible when you are worried about a symptom, need a sick note for work, or want a question answered quickly.

This is not a criticism of NHS GPs, who are working under enormous pressure. It is simply an honest description of supply and demand. Understanding the difference between NHS and private GP care helps you make informed decisions about your health — and your time.

Key Differences at a Glance

Factor NHS GP Private GP (Lambert)
Wait for appointment 2–4 weeks (routine) Same day / next day
Consultation length 8–10 minutes average 20–30 minutes
Cost Free at point of use From £65.98
Blood test access Referred, 1–2 week wait In-clinic, same day
Specialist referral NHS wait (weeks–months) Fast-track private referral
Prescriptions NHS (£9.90 per item) Private prescription issued same day
Advanced diagnostics ALEX3 allergy not available ALEX3, hormone panels, NAD+, IV therapy
Continuity of care Variable (duty doctor) See same GP each visit
Online / phone consult Limited availability Available same day
Affects NHS registration You remain registered No effect on NHS registration

Waiting Times: The Biggest Practical Difference

NHS England data consistently shows that a large proportion of patients cannot get a face-to-face GP appointment within a week. For working adults, parents managing childcare, or anyone with an urgent but non-A&E concern, a two-week wait is more than an inconvenience — it can lead to anxiety, delays in diagnosis, or missed work.

At Lambert Medical Practice, same-day and next-day appointments are routinely available. You book, you are seen, you leave with a plan. That speed is perhaps the single most compelling reason people choose private GP care for specific concerns.

Consultation Quality: Time Makes the Difference

A typical NHS GP appointment lasts 8–10 minutes. That is not enough time to discuss multiple symptoms, ask follow-up questions, review previous test results, and establish a management plan. GPs working in the NHS know this — it is the system, not the individuals, that creates the constraint.

Private GP appointments at Lambert run for 20–30 minutes as standard. You get to describe your symptoms fully. You can ask questions. Your doctor can think, examine, and explain rather than rushing to the next patient. This extended time often means better decisions, fewer return visits, and greater confidence in your care.

Services the NHS Does Not Offer

Some services simply are not available through the NHS — or have such limited access that waiting times make them impractical. At Lambert Medical Practice, we offer a range of clinics that go well beyond a standard GP visit:

ALEX3 Allergy Testing

The most advanced molecular allergy test available in the UK, identifying 295+ allergens from a single blood sample. Not available on the NHS.

HRT & Menopause Clinic

Specialist hormone therapy for perimenopause and menopause, including body-identical HRT. NHS waiting times for specialist menopause clinics can exceed 12 months.

TRT for Men

Testosterone replacement therapy with full hormone panel, monitored by a GP. NHS access is heavily restricted; private TRT clinics offer a streamlined pathway.

NAD+ & IV Therapy

GP-supervised intravenous vitamin and NAD+ infusions for energy, recovery, and longevity support — exclusively available in private clinics.

Gender Reveal Blood Test

Early pregnancy gender determination from maternal blood, available from 8 weeks. Not available on the NHS.

Boxing Medicals

England Boxing pre-licence medicals, including ECG and full physical. Required for amateur competition — only available privately.

Cost: Understanding the True Comparison

NHS GP care is free at the point of use, funded through taxation. Private GP care costs money upfront. However, the comparison is rarely as simple as "free vs paid".

At Lambert Medical Practice, a standard private GP consultation starts from £65.98 — a flat, transparent fee with no hidden extras. For many patients, particularly those in full-time employment, the value of being seen today rather than waiting three weeks is significant. Lost working hours, anxiety, delayed treatment, and potential complications all carry their own costs.

It is also worth noting that many private GP consultations cost considerably more than Lambert's rates. Local competitors in Surrey charge between £125 and £160 for a standard consultation. Lambert's pricing is intentionally structured to make private care accessible to more patients — not just those with comprehensive health insurance.

Lambert vs Local Competitors

Lambert Medical Practice: from £65.98 — up to 50% less than other local private GP clinics in Surrey. CQC registered. 5.0 ⭐ on Google across 94 reviews.

Does Going Private Affect Your NHS Care?

No. Consulting a private GP does not affect your NHS registration. You remain on your NHS GP list and can continue to use all NHS services. Your private consultation records are kept separately, though your private GP can — with your consent — share a clinical summary with your NHS GP to ensure continuity.

Many patients use both systems thoughtfully: NHS for long-term conditions and referrals that can wait, and private for urgent concerns, specific tests, or services not available on the NHS.

When Should You Choose Private GP Care?

Private GP care is worth considering when:

  • You cannot get an NHS appointment within a timeframe that feels safe or practical
  • You need a fit note, sick certificate, or DVLA/insurance medical quickly
  • You want a longer consultation to discuss multiple concerns
  • You need blood tests, allergy testing, or hormone panels without a referral queue
  • You are interested in services not available on the NHS (ALEX3, NAD+, IV therapy, HRT, TRT, gender reveal)
  • You want to see the same doctor each visit for continuity
  • You need a fast-track referral to a specialist

When Should You Stick With the NHS?

The NHS remains the right choice for emergency care, hospital treatment, complex surgical pathways, long-term disease management, maternity care, and anything that requires multi-disciplinary input. If you have a genuine emergency, go to A&E or call 999. Private GP care is not a substitute for urgent or emergency hospital treatment.

Frequently Asked Questions

Private GPs offer same-day appointments, longer consultation times, and access to advanced diagnostics not available on the NHS. Whether "better" depends on your situation — for urgent or specialist concerns without long waits, private is often the quicker and more comprehensive route.

Yes, absolutely. Seeing a private GP does not affect your NHS registration. Many patients use both: NHS for long-term conditions and private for urgent or specialist concerns. You remain fully entitled to all NHS services.

At Lambert Medical Practice in Surbiton, same-day and next-day appointments are typically available. Most patients are seen within 24 hours of contacting us. Book online or call 0208 133 5694.

Your private consultation notes are held separately. However, with your consent, your private GP can write to your NHS GP with a summary to ensure continuity of care across both systems.

Need to See a GP Today?

Same-day appointments available at Lambert Medical Practice, Surbiton. Private GP from £65.98 — CQC registered, 5.0 ⭐ on Google.

Book Now 0208 133 5694